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RAVEN ALEXIS ROSA
NPI 1861361594
Licensed Psychiatric Technician in Riverside, CA

Active since October 31, 2025
4295 BROCKTON AVE, RIVERSIDE, CA 92501(951) 683-6596 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raven Alexis Rosa NPPES

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

RAVEN ALEXIS ROSA (NPI 1861361594) is an individual licensed psychiatric technician in Riverside, California, licensed in California (42465) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1861361594
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameRAVEN ALEXIS ROSA
Location Address4295 BROCKTON AVERiverside, CA 92501-3446
Mailing Address5870 Arlington AveRiverside, CA 92504-2037 · (951) 683-6596
Phone(951) 683-6596
Sole ProprietorYes
Enumeration DateOctober 31, 2025
Last NPPES UpdateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1861361594 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 · 42465
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.
4295 BROCKTON AVE, Riverside, CA 92501
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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.

RENEE WOOTEN
Counselor (Addiction (Substance Use Disorder))
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 341-3786
LAILA DELIRA
Peer Specialist
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
ASHLEY CAPONE
Marriage & Family Therapist
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 341-3786
LETICIA ESTRADA
Counselor
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 341-3786
ANNA STARCK PEER SUPPORT
Peer Specialist
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 341-3786
JAYE NICOLE
Counselor (Addiction (Substance Use Disorder))
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
DAISY FARIAS
Counselor (Addiction (Substance Use Disorder))
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
IRENE VILLEGAS
Counselor
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 341-3786

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 Raven Rosa's NPI number?

The NPI number for Raven Rosa is 1861361594. It was assigned to this individual provider in the NPPES registry on October 31, 2025.

Where is Raven Rosa located?

Raven Rosa practices at 4295 Brockton Ave, Riverside, CA 92501. The listed phone number is (951) 683-6596.

What is Raven Rosa'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 Raven Rosa was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.