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

KHAMEELAH DESTINY BONNER LPT
NPI 1871444158
Licensed Psychiatric Technician in Stockton, CA

Active since February 04, 2026
1414 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-6820 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khameelah Destiny Bonner Lpt NPPES

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

KHAMEELAH DESTINY BONNER LPT (NPI 1871444158) is an individual licensed psychiatric technician in Stockton, California, licensed in California (43121) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1871444158
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameKHAMEELAH DESTINY BONNERCredential: LPT
Location Address1414 N CALIFORNIA STStockton, CA 95202-1515
Mailing Address1414 N California StStockton, CA 95202-1515 · (209) 468-6820
Phone(209) 468-6820
Sole ProprietorNo
Enumeration DateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
✔ NPI 1871444158 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 · 43121
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.
1414 N CALIFORNIA ST, Stockton, CA 95202
Open in Google Maps ↗

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.

MARITZA JUACHE
Day Training/Habilitation Specialist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
JOSEPH MICHAEL JACKSON POINTON
Case Manager/Care Coordinator
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-1000
TRISTAN PATRICK SPAULDING
Community Health Worker
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
KEAR HENG NGAM
Counselor (Mental Health)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
MR. ADAM WILLIAM DIESTLER MFTI
Marriage & Family Therapist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
J WILLIAM WATKINS LPCC
Counselor (Professional)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
ADRIENNE PLEASANTS
Counselor (Mental Health)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7385
MR. JOSEPH KOZINA
Day Training/Habilitation Specialist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-4226

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 Khameelah Bonner's NPI number?

The NPI number for Khameelah Bonner is 1871444158. It was assigned to this individual provider in the NPPES registry on February 4, 2026.

Where is Khameelah Bonner located?

Khameelah Bonner practices at 1414 N California St, Stockton, CA 95202. The listed phone number is (209) 468-6820.

What is Khameelah Bonner'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 Khameelah Bonner was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.