Active NPI
Michael Collier, LPT
- Licensed Psychiatric Technician
- Ventura, CA
National Provider Identifier
1659642320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 30793
- Practice address
- 5810 Ralstron St
2ND Floor
Ventura, CA 93003 - Phone
- (805) 642-7033
- Fax
- (805) 624-7201
- NPI assigned
- Jan 26, 2012
- Sex
- Male
- 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 | 30793 | CA | Primary |
Addresses
Primary practice location
5810 Ralstron St
2ND Floor
Ventura, CA 93003
Mailing address
5260 San Anselmo Rd
Atascadero, CA 93422-2528
Phone (805) 642-7033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167G00000X | Other | CA | LICENSED PSYCHIATRIC TECHNICIAN |
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 |
|---|---|---|---|
| 30793 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1659642320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5260 SAN ANSELMO RD",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934222528",
"telephone_number": "805-642-7033",
"fax_number": "805-642-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 RALSTRON ST",
"address_2": "2ND FLOOR",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-642-7033",
"fax_number": "805-624-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "MICHAEL",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-26",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "30793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHIATRIC TECHNICIAN",
"identifier": "167G00000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.