WILLIAM WADE MIDDLETON LPT/PET CLINICIAN
NPI 1922488923
Licensed Psychiatric Technician in Lynwood, CA

Active since June 04, 2015
3630 E IMPERIAL HWY, LYNWOOD, CA 90262(301) 900-8210(310) 900-8286 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Wade Middleton Lpt/pet Clinician NPPES

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

WILLIAM WADE MIDDLETON LPT/PET CLINICIAN (NPI 1922488923) is an individual licensed psychiatric technician in Lynwood, California, licensed in California (PT26958) and active in the NPI registry since June 2015. He maintains a secondary practice location in Laguna Hills.

NPPES Registry Identity

NPI1922488923
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameWILLIAM WADE MIDDLETONCredential: LPT/PET CLINICIAN
Location Address3630 E IMPERIAL HWYLynwood, CA 90262-2609
Mailing Address919 Olive AveHuntington Beach, CA 92648-4809 · (714) 591-3856
Fax(310) 900-8286
Sole ProprietorNo
Enumeration DateJune 4, 2015
Last NPPES UpdateAugust 28, 2019
NPI 1922488923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in CA · PT26958
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PT26958 (CA)
3630 E IMPERIAL HWY, Lynwood, CA 90262

Secondary Practice Location 1

Location 125352 Hillary LnLaguna Hills, CA 92653-5217 · Phone (949) 652-5351 · Fax (949) 652-5361

Other Identifiers 2

Other167G00000XCA · Addtaxonmy
Medicaid1245227180CA

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.

Clinic/Center (Adolescent and Children Mental Health)
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Nurse Anesthetist, Certified Registered
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Pathology (Anatomic Pathology & Clinical Pathology)
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Emergency Medicine
3630 E IMPERIAL HWY, EMERGENCY DEPARTMENT
LYNWOOD, CA 90262
Marriage & Family Therapist
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Surgery (Surgical Critical Care)
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Student in an Organized Health Care Education/Training Program
3630 E IMPERIAL HWY
LYNWOOD, CA 90262
Registered Nurse (Psychiatric/Mental Health)
3630 E IMPERIAL HWY
LYNWOOD, CA 90262

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 William Middleton's NPI number?

The NPI number for William Middleton is 1922488923. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is William Middleton located?

William Middleton practices at 3630 E Imperial Hwy, Lynwood, CA 90262. The listed phone number is (301) 900-8210.

What is William Middleton'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 William Middleton was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.