Individual provider Active NPI

Terrah Campion, PYSCH TECH

  • Licensed Psychiatric Technician
  • Oceanside, CA
National Provider Identifier
1770017246
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
PT33534 Issued in CA
Practice address
1919 Apple St Ste G
Oceanside, CA 92054-4425
Phone
(760) 547-1280
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PT33534 CA Primary

Addresses

Primary practice location

1919 Apple St Ste G
Oceanside, CA 92054-4425

Mailing address

1919 Apple St Ste G
Oceanside, CA 92054-4425
Phone (760) 547-1280

Other practice location 1

892 27th St
San Diego, CA 92154-1444
Phone (619) 575-4687

Other practice location 2

3853 Rosecrans St
San Diego, CA 92110-3115
Phone (619) 692-8232

Other practice location 3

892 27th St
San Diego, CA 92154-1444
Phone (619) 575-4687

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

LicenseStateTypeSpecialty
PT33534CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770017246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 APPLE ST STE G",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544425",
            "telephone_number": "760-547-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 APPLE ST STE G",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544425",
            "telephone_number": "760-547-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "892 27th St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921541444",
            "country_code": "US",
            "telephone_number": "619-575-4687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3853 Rosecrans St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921103115",
            "country_code": "US",
            "telephone_number": "619-692-8232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "892 27th St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921541444",
            "country_code": "US",
            "telephone_number": "619-575-4687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPION",
        "first_name": "TERRAH",
        "credential": "PYSCH TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT33534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.