MR. JERRY DUPREE SMITH
NPI 1952111668
Licensed Psychiatric Technician in Stockton, CA

Active since January 14, 2025
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8686 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jerry Dupree Smith NPPES

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

MR. JERRY DUPREE SMITH (NPI 1952111668) is an individual licensed psychiatric technician in Stockton, California, licensed in California (42177) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1952111668
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameMR. JERRY DUPREE SMITH
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-0103
Sole ProprietorYes
Enumeration DateJanuary 14, 2025
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1952111668 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 · 42177
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 ListedLicensed Vocational NurseTaxonomy 164X00000X · License 722711 (CA)
1212 N CALIFORNIA ST, Stockton, CA 95202

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 (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202

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 Jerry Smith's NPI number?

The NPI number for Jerry Smith is 1952111668. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Jerry Smith located?

Jerry Smith practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-8686.

What is Jerry Smith'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 Jerry Smith was last updated on January 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.