MS. AMANDA JOHANNA MENARY
NPI 1851644371
Licensed Psychiatric Technician in Santa Rosa, CA
- Individual
- Female
- Licensed Psychiatric Technician
About AMANDA MENARY
This page provides the complete NPI Profile along with additional information for Amanda Menary, a provider established in Santa Rosa, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1851644371 assigned on October 2012. The practitioner's primary taxonomy code is 167G00000X with license number PT36689 (CA). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1851644371 Verify this NPI
- Provider Name
- MS. AMANDA JOHANNA MENARY
- Other Name
- MS. AMANDA JOHANNA AARON
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1901 CLEVELAND AVE SANTA ROSA, CA 95401
- Location Phone
- (707) 576-0818
- Location Fax
- (707) 576-7845
- Mailing Address
- 612 PALOMINO DR SANTA ROSA, CA 95401
- Mailing Phone
- (707) 484-3411
- Mailing Fax
- (707) 576-7845
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-22-2012
- Last Update Date
- 10-22-2012
- 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.
- PT36689
- 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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Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851644371, enumerated as an "individual" on October 22, 2012.
The provider is located at 1901 CLEVELAND AVE SANTA ROSA, CA 95401 and the phone number is (707) 576-0818.
Licensed Psychiatric Technician with taxonomy code 167G00000X.
