Joseph Brigham Steen-Larsen

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

34669 Issued in CA

Practice address

285 South St Ste J
San Luis Obispo, CA 93401-5037

Phone

(805) 547-7025

NPI assigned

Sep 10, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1083440697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SOUTH ST STE J",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015037",
            "telephone_number": "805-547-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SOUTH ST STE J",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015037",
            "telephone_number": "805-547-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEN-LARSEN",
        "first_name": "JOSEPH",
        "middle_name": "BRIGHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "34669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Stauble, B.S.
• Cheryl Wilson Steed, PSY.D.
• Michael Steele, M.D.
• Roger Bruce Steele, M.D.
• Andrea Faye Steen-Larsen
• Maura Stefko, M.D.
• Anne M Stegall
• Alan E Stehli, MS
• Alex John Steinleitner, M.D.
• Jonathan R Stella, MD

• All providers in San Luis Obispo, CA
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.