Active NPI
Joy Julia McLeod
- Licensed Psychiatric Technician
- Santa Maria, CA
National Provider Identifier
1205081122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 34049
- Practice address
- 116 Agnes Ave
Santa Maria, CA 93458-2838 - Phone
- (805) 457-3780
- NPI assigned
- Nov 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 34049 | CA | Primary |
Addresses
Primary practice location
116 Agnes Ave
Santa Maria, CA 93458-2838
Mailing address
224 Buhne St
Eureka, CA 95501-4107
Phone (805) 975-7632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205480563 | Other | CA | TELECARE AGNES AVE. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34049 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1205081122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 BUHNE ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014107",
"telephone_number": "805-975-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 AGNES AVE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934582838",
"telephone_number": "805-457-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "JOY",
"middle_name": "JULIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "34049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TELECARE AGNES AVE.",
"identifier": "1205480563",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.