Active NPI
Janeisa Tadongdouonnang, LPT
- Licensed Psychiatric Technician
- Coalinga, CA
National Provider Identifier
1144996216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- Practice address
- 351 Warthan St Apt 120
Coalinga, CA 93210-2654 - Phone
- (559) 404-9387
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 92180 | CA | |
| Licensed Psychiatric Technician | 167G00000X | Primary |
Addresses
Primary practice location
351 Warthan St Apt 120
Coalinga, CA 93210-2654
Mailing address
529 Pepper Dr Apt a
Hanford, CA 93230-3337
Phone (559) 404-9387
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychsis LTD Liability Company | Licensed Psychiatric Technician | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Licensed Psychiatric Technician
- Coalinga, CA
- NPI 1851010672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1144996216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 PEPPER DR APT A",
"city": "HANFORD",
"state": "CA",
"postal_code": "932303337",
"telephone_number": "559-404-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 WARTHAN ST APT 120",
"city": "COALINGA",
"state": "CA",
"postal_code": "932102654",
"telephone_number": "559-404-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADONGDOUONNANG",
"first_name": "JANEISA",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "92180",
"primary": false
},
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coalinga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.