Individual provider Active NPI

Theresa Maureen Amore, LPT

  • Licensed Psychiatric Technician
  • Stockton, CA
National Provider Identifier
1568635688
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
Practice address
1700 S El Dorado St
Stockton, CA 95206-2000
Phone
(209) 460-0429
Fax
(209) 460-0428
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X Primary

Addresses

Primary practice location

1700 S El Dorado St
Stockton, CA 95206-2000

Mailing address

2178 Johnson Ave.
San Luis Obisbo, CA 93401
Phone (805) 781-4711

Other names 1

  • Mrs. Theresa Maureen Amore Other name

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1568635688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 JOHNSON AVE.",
            "city": "SAN LUIS OBISBO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-781-4711",
            "fax_number": "209-460-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062000",
            "telephone_number": "209-460-0429",
            "fax_number": "209-460-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMORE",
        "first_name": "THERESA",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "AMORE",
            "middle_name": "MAUREEN",
            "prefix": "MRS.",
            "credential": "LPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.