Brian Patrick Eddy, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

31086 Issued in CA

Practice address

2945 McMillan Ave Ste 240
San Luis Obispo, CA 93401-6771

Phone

(805) 439-4890

NPI assigned

Apr 11, 2023

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1174218408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 LARKFIELD PL",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464757",
            "telephone_number": "805-298-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 MCMILLAN AVE STE 240",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016771",
            "telephone_number": "805-439-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "31086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Eaton, MFT INTERN
• Paul Ebo
• Dieter Ernst Eckert
• Mark K Eckert, MD
• Economic Opportunity Commission of San Luis Obispo, Inc
• Hunter Joseph Edwards, MSW/ASW
• Lauren Krumholz Edwards, MS, OT/L
• Denise M Egan, MFTI
• Sydney Egan
• Dana Sue Ehring, M.ED

• Licensed Psychiatric Technician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.