Individual provider Active NPI

Donna J Carter, L.P.T.

  • Licensed Psychiatric Technician
  • San Francisco, CA
National Provider Identifier
1093984635
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
LA25200 Issued in CA
Practice address
1111 Market St
4TH Floor
San Francisco, CA 94103-1513
Phone
(415) 928-7800
Fax
(415) 928-7801
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X LA25200 CA Primary

Addresses

Primary practice location

1111 Market St
4TH Floor
San Francisco, CA 94103-1513

Mailing address

465 Visitacion Ave
Brisbane, CA 94005-1666
Phone (650) 291-2593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LA25200CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1093984635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 VISITACION AVE",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051666",
            "telephone_number": "650-291-2593",
            "fax_number": "415-657-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MARKET ST",
            "address_2": "4TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031513",
            "telephone_number": "415-928-7800",
            "fax_number": "415-928-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DONNA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "L.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "LA25200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.