DEBRA ELLIS
NPI 1780090340
Licensed Psychiatric Technician in Fair Oaks, CA
- Individual
- Female
- Licensed Psychiatric Technician
About DEBRA ELLIS
This page provides the complete NPI Profile along with additional information for Debra Ellis, a provider established in Fair Oaks, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1780090340 assigned on July 2014. The practitioner's primary taxonomy code is 167G00000X with license number PT18954 (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1780090340 Verify this NPI
- Provider Name
- DEBRA ELLIS
- Other Name
- DEBRA LEE ELLIS LPT LIC. PSYCH TECH
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7340 KILBORN DR FAIR OAKS, CA 95628
- Location Phone
- (707) 484-2276
- Location Fax
- (916) 974-7851
- Mailing Address
- 10910 PINE VIEW HEIGHTS RD NEVADA CITY, CA 95959
- Mailing Phone
- (916) 390-5816
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-03-2014
- Last Update Date
- 08-08-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Psychiatric Technician
- Taxonomy Code
- 167G00000X
- Type
- Nursing Service Providers
- License No.
- PT18954
- License State
- CA
- Taxonomy Description
- An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780090340, enumerated as an "individual" on July 03, 2014.
The provider is located at 7340 KILBORN DR FAIR OAKS, CA 95628 and the phone number is (707) 484-2276.
Licensed Psychiatric Technician with taxonomy code 167G00000X.
