Tyrone Desaussure Sr., LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

36679 Issued in CA

Practice address

212 Carmen LN Ste 201
Santa Maria, CA 93458-7771

Phone

(805) 212-7680

NPI assigned

May 11, 2026

Last updated

May 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Telecare Corporation

  dba Telecare Carmen Lane

  • Psychiatric Residential Treatment Facility
  • Santa Maria, CA
  • NPI 1245897354
  NPD (past)

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1699603514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587771",
            "telephone_number": "808-212-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587771",
            "telephone_number": "805-212-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAUSSURE",
        "first_name": "TYRONE",
        "name_suffix": "Sr.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "36679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Densen, MD
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• Paraon Nolasc Dequiroz, DDS
• Derek NG DDS Inc
• Kamlesh Mohan Desai, M.D.
• Morgan Desjardins
• Brian Desmond, M.D.
• Denise Desmond, NP,RN
• McCaitlyn Despues
• Danielle Destasio

• Licensed Psychiatric Technician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.