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KIRSTIE WICHTENDAHL LPT
NPI 1861166910
Licensed Psychiatric Technician in San Andreas, CA

Active since August 03, 2021
3585 HAWVER RD., SAN ANDREAS, CA 95249(209) 754-1249 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kirstie Wichtendahl Lpt NPPES

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

KIRSTIE WICHTENDAHL LPT (NPI 1861166910) is an individual licensed psychiatric technician in San Andreas, California, licensed in California (40011) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1861166910
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameKIRSTIE WICHTENDAHLCredential: LPT
Location Address3585 HAWVER RD.San Andreas, CA 95249-9524
Mailing AddressPo Box 1144San Andreas, CA 95249-1144 · (209) 754-1249
Phone(209) 754-1249
Sole ProprietorNo
Enumeration DateAugust 3, 2021
NPPES CertifiedJuly 8, 2021
✔ NPI 1861166910 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 · 40011
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.
3585 HAWVER RD., San Andreas, CA 95249
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Other Providers at the Same Location NPPES 3

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

PAUL MERTENS
Case Manager/Care Coordinator
3585 HAWVER RD.
SAN ANDREAS, CA 95249
Calaveras County (209) 754-1249
MR. WYLIE JAMES BAGLEY PHD
Marriage & Family Therapist
3585 HAWVER RD.
SAN ANDREAS, CA 95249
Calaveras County (209) 754-1249
OAKENDELL CORPORATION
Residential Treatment Facility, Emotionally Disturbed Children
3585 HAWVER RD.
SAN ANDREAS, CA 95249
Calaveras County (209) 754-1249

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 Kirstie Wichtendahl's NPI number?

The NPI number for Kirstie Wichtendahl is 1861166910. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Kirstie Wichtendahl located?

Kirstie Wichtendahl practices at 3585 Hawver Rd., San Andreas, CA 95249. The listed phone number is (209) 754-1249.

What is Kirstie Wichtendahl'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 Kirstie Wichtendahl was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.