Active NPI
Tammy Terrell Johnson, PSYCH TECH
- Licensed Psychiatric Technician
- Downey, CA
National Provider Identifier
1356764328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT33044
- Practice address
- 7765 Leeds St
Downey, CA 90242-3489 - Phone
- (562) 674-1714
- NPI assigned
- Jan 28, 2014
- 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 | PT33044 | CA | Primary |
Addresses
Primary practice location
7765 Leeds St
Downey, CA 90242-3489
Mailing address
7765 Leeds St
Downey, CA 90242-3489
Phone (562) 674-1714
Other practice location 1
1501 Hughes Way Ste 150
Long Beach, CA 90810
Phone (310) 221-6336
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 |
|---|---|---|---|
| PT33044 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733011200000",
"number": "1356764328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7765 LEEDS ST",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423489",
"telephone_number": "562-674-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7765 LEEDS ST",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423489",
"telephone_number": "562-674-1714"
}
],
"practiceLocations": [
{
"address_1": "1501 Hughes Way Ste 150",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "90810",
"country_code": "US",
"telephone_number": "310-221-6336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "TAMMY",
"middle_name": "TERRELL",
"credential": "PSYCH TECH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2024-12-01",
"certification_date": "2024-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT33044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.