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JEANNINE DEHARA
NPI 1851067698
Licensed Psychiatric Technician in Downey, CA

Active since August 20, 2021
7745 LEEDS ST, DOWNEY, CA 90242(310) 221-6336 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeannine Dehara NPPES

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

JEANNINE DEHARA (NPI 1851067698) is an individual licensed psychiatric technician in Downey, California, licensed in California (42894) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1851067698
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameJEANNINE DEHARA
Location Address7745 LEEDS STDowney, CA 90242-3489
Mailing Address7745 Leeds StDowney, CA 90242-3489 · (310) 221-6336
Phone(310) 221-6336
Sole ProprietorNo
Enumeration DateAugust 20, 2021
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1851067698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 42894
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.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 42894 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
7745 LEEDS ST, Downey, CA 90242
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Other Identifiers 1

Medicaid1487916755CA

Other Providers at the Same Location NPPES 20

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

IVANNIA MILLY FUENTES
Marriage & Family Therapist
7745 LEEDS ST
DOWNEY, CA 90242
Los Angeles County (310) 221-6336
KELEISHIA TURNER-WILLIAMS AMFT
Marriage & Family Therapist
7745 LEEDS ST
DOWNEY, CA 90242
Los Angeles County (310) 221-6336
AUDREY LUCIA CALAHORRANO
Licensed Vocational Nurse
7745 LEEDS ST
DOWNEY, CA 90242
Los Angeles County (562) 719-2866
JULIO CESAR DIAZ
Day Training/Habilitation Specialist
7745 LEEDS ST
DOWNEY, CA 90242
Los Angeles County (562) 719-2866
IVY MACIAS
Community Health Worker
7745 LEEDS ST
DOWNEY, CA 90242
Los Angeles County (562) 719-2866
GLORIA MEJIA SARABIA
Day Training/Habilitation Specialist
7745 LEEDS ST
DOWNEY, CA 90242
Los Angeles County (310) 221-6336
MARISA DANIELLE CASTANON
Social Worker
7745 LEEDS ST
DOWNEY, CA 90242
Los Angeles County (310) 221-6336
TYKIES S MAYS LVN #722599
Licensed Vocational Nurse
7745 LEEDS ST
DOWNEY, CA 90242
Los Angeles County (562) 719-2866

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 Jeannine Dehara's NPI number?

The NPI number for Jeannine Dehara is 1851067698. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Jeannine Dehara located?

Jeannine Dehara practices at 7745 Leeds St, Downey, CA 90242. The listed phone number is (310) 221-6336.

What is Jeannine Dehara'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 Jeannine Dehara was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.