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CASSANDRA RENE'E SMULLEN
NPI 1972150274
Licensed Psychiatric Technician in Stockton, CA

Active since August 21, 2019
1803 W MARCH LN, STOCKTON, CA 95207(209) 636-5353 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cassandra Rene'e Smullen NPPES

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

CASSANDRA RENE'E SMULLEN (NPI 1972150274) is an individual licensed psychiatric technician in Stockton, California, licensed in California (37323) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1972150274
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameCASSANDRA RENE'E SMULLEN
Location Address1803 W MARCH LNStockton, CA 95207-6414
Mailing Address1803 W March LnStockton, CA 95207-6414 · (209) 636-5353
Phone(209) 636-5353
Sole ProprietorNo
Enumeration DateAugust 21, 2019
✔ NPI 1972150274 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 · 37323
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.
1803 W MARCH LN, Stockton, CA 95207
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Other Providers at the Same Location NPPES 17

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

MR. ERNESTO ANGEL GONZALEZ
Counselor
1803 W MARCH LN
STOCKTON, CA 95207
San Joaquin County (209) 684-6642
MRS. JEANNE MARIE MOSER
Community Health Worker
1803 W MARCH LN
STOCKTON, CA 95207
San Joaquin County (209) 636-5353
MAIRA YESENIA RIVAS SANCHEZ
Day Training/Habilitation Specialist
1803 W MARCH LN
STOCKTON, CA 95207
San Joaquin County (209) 636-5353
MR. EDWARD LEON SMITH JR.
Day Training/Habilitation Specialist
1803 W MARCH LN
STOCKTON, CA 95207
San Joaquin County (209) 636-5353
MRS. RENEE MORTON
Peer Specialist
1803 W MARCH LN
STOCKTON, CA 95207
San Joaquin County (209) 636-5355
TURNING POINT COMMUNITY PROGRAMS
Community/Behavioral Health
1803 W MARCH LN, SUITE A, C, D, & G
STOCKTON, CA 95207
San Joaquin County (209) 363-5353
CHRISTINA RENEE AGUILAR
Day Training/Habilitation Specialist
1803 W MARCH LN
STOCKTON, CA 95207
San Joaquin County (209) 636-5353
TURNING POINT COMMUNITY PROGRAMS
Community/Behavioral Health
1803 W MARCH LN, SUITE A, C, D, & G
STOCKTON, CA 95207
San Joaquin County (209) 636-5353

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 Cassandra Smullen's NPI number?

The NPI number for Cassandra Smullen is 1972150274. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Cassandra Smullen located?

Cassandra Smullen practices at 1803 W March Ln, Stockton, CA 95207. The listed phone number is (209) 636-5353.

What is Cassandra Smullen'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 Cassandra Smullen was last updated on August 21, 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.