1. Home
  2. Directory
  3. California
  4. Nevada City
  5. Licensed Psychiatric Technician
  6. NPI Profile

DOMINIQUE RENEE STEPHENS
NPI 1841773702
Licensed Psychiatric Technician in Nevada City, CA

Active since September 07, 2018
24077 CA-49, NEVADA CITY, CA 95959(530) 265-9057 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, Aug 16, 2022, Sep 7, 2018 (3 updates tracked since 2018).

About Dominique Renee Stephens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE RENEE STEPHENS (NPI 1841773702) is an individual licensed psychiatric technician in Nevada City, California, licensed in California (42288) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1841773702
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameDOMINIQUE RENEE STEPHENS
Location Address24077 CA-49Nevada City, CA 95959
Mailing Address201 D St Ste GMarysville, CA 95901-5957 · (530) 742-7747
Phone(530) 265-9057
Sole ProprietorNo
Enumeration DateSeptember 7, 2018
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1841773702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 42288
Definition
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.
24077 CA-49, Nevada City, CA 95959
Open in Google Maps ↗

Other Names 1

Former Name (1)Dominique Stallworth

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA L VIEHMANN
Social Worker
24077 CA-49
NEVADA CITY, CA 95959
Nevada County (530) 265-9057
MR. MICHAEL PATRICK BARRETT MBA, MSW, ASW
Social Worker
24077 CA-49
NEVADA CITY, CA 95959
Nevada County (530) 265-9057

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Stephens's NPI number?

The NPI number for Dominique Stephens is 1841773702. It was assigned to this individual provider in the NPPES registry on September 7, 2018. The provider is also known as Dominique Stallworth.

Where is Dominique Stephens located?

Dominique Stephens practices at 24077 Ca-49, Nevada City, CA 95959. The listed phone number is (530) 265-9057.

What is Dominique Stephens's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Dominique Stephens was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.