Brian Rick Atwell Sr., PT
Individual provider Active NPI Licensed Psychiatric Technician · Atascadero, CA
NPI 1457546673 · NPPES record last updated Jun 23, 2024
Key facts
- NPI
- 1457546673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Psychiatric Technician 167G00000X
- License
- PT28932 (CA)
- Practice address
- 6500 Morro Rd
Atascadero, CA 93422-4142 - Phone
- (805) 461-5212
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT28932 | CA | MD | Licensed Psychiatric Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT28932 | CA | Yes |
Addresses
Primary practice location
6500 Morro Rd
Atascadero, CA 93422-4142
Mailing address
7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone (818) 206-0360
Other providers in Atascadero, CA
- Atascadero Christian Home
- Atascadero Christian Home
- Atascadero Christian Home Inc
- Atascadero Unified School District
- Atown Labs, LLC
- Richard Atwood
- Michael T Axelrod
- B. Madzarevic, D.D.S., Inc.
- Camille Babida
- Babujyan Healthcare Hospice, Inc.
All providers in Atascadero, CA · Licensed Psychiatric Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.