KELLY R ZOLLO LPT
NPI 1962638510
Licensed Psychiatric Technician in Norwalk, CA

Active since June 09, 2009
12353 IMPERIAL HWY, NORWALK, CA 90650(562) 484-3385(562) 484-0269 Get Directions Write a Review

NPPES record last updated: June 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly R Zollo Lpt NPPES

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

KELLY R ZOLLO LPT (NPI 1962638510) is an individual licensed psychiatric technician in Norwalk, California, licensed in California (30755) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1962638510
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameKELLY R ZOLLOCredential: LPT
Location Address12353 IMPERIAL HWYNorwalk, CA 90650-8305
Mailing Address12353 Imperial HwyNorwalk, CA 90650-8305 · (562) 484-3385 · Fax (562) 484-0269
Fax(562) 484-0269
Sole ProprietorYes
Enumeration DateJune 9, 2009
NPI 1962638510 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 · 30755
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.

12353 IMPERIAL HWY, Norwalk, CA 90650

Other Identifiers 3

Medicaid1512013461CA
Medicare PIN1512013461CA
Medicare UPIN1512013461

Other Providers at the Same Location NPPES 11

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

Licensed Psychiatric Technician
12353 IMPERIAL HWY, APT. #1
NORWALK, CA 90650
Counselor (Mental Health)
12353 IMPERIAL HWY
NORWALK, CA 90650
Licensed Vocational Nurse
12353 IMPERIAL HWY
NORWALK, CA 90650
Case Manager/Care Coordinator
12353 IMPERIAL HWY
NORWALK, CA 90650
Counselor (Mental Health)
12353 IMPERIAL HWY
NORWALK, CA 90650
Licensed Vocational Nurse
12353 IMPERIAL HWY
NORWALK, CA 90650
Counselor (Mental Health)
12353 IMPERIAL HWY
NORWALK, CA 90650
Counselor (Mental Health)
12353 IMPERIAL HWY
NORWALK, CA 90650

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962638510, enumerated as an "individual" on June 09, 2009.

The provider is located at 12353 IMPERIAL HWY NORWALK, CA 90650 and the phone number is (562) 484-3385.

Licensed Psychiatric Technician with taxonomy code 167G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.