Active NPI
Sheri Jo Watson, PSYCH TECH
- Licensed Psychiatric Technician
- Yuba City, CA
National Provider Identifier
1649313131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT 30466
- Practice address
- 1965 Live Oak Blvd
Yuba City, CA 95991 - Phone
- (530) 822-7513
- Fax
- (530) 822-7514
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PT 30466 | CA | Primary |
Addresses
Primary practice location
1965 Live Oak Blvd
Yuba City, CA 95991
Mailing address
6645 Saenger Trail
Browns Valley, CA 95918
Phone (530) 300-2552
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 |
|---|---|---|---|
| PT 30466 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649313131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6645 SAENGER TRAIL",
"city": "BROWNS VALLEY",
"state": "CA",
"postal_code": "95918",
"telephone_number": "530-300-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "95991",
"telephone_number": "530-822-7513",
"fax_number": "530-822-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "SHERI",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "PSYCH TECH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT 30466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.