MAI KER VANG
NPI 1982103081
Licensed Psychiatric Technician in Stockton, CA
- Individual
- Female
- Licensed Psychiatric Technician
About MAI VANG
This page provides the complete NPI Profile along with additional information for Mai Vang, a provider established in Stockton, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1982103081 assigned on February 2018. The practitioner's primary taxonomy code is 167G00000X with license number PT40697 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1982103081 Verify this NPI
- Provider Name
- MAI KER VANG
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1212 N CALIFORNIA ST STOCKTON, CA 95202
- Location Phone
- (209) 468-0102
- Mailing Address
- 1212 N CALIFORNIA ST STOCKTON, CA 95202
- Mailing Phone
- (209) 468-0102
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-05-2018
- Last Update Date
- 10-26-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Psychiatric Technician
- Taxonomy Code
- 167G00000X
- Type
- Nursing Service Providers
- License No.
- PT40697
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | PT40697 (CA) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982103081, enumerated as an "individual" on February 05, 2018.
The provider is located at 1212 N CALIFORNIA ST STOCKTON, CA 95202 and the phone number is (209) 468-0102.
Licensed Psychiatric Technician with taxonomy code 167G00000X.