Individual provider Active NPI

Patricia Lynn Mahanay, PSYCHIATRIC TECH

  • Licensed Psychiatric Technician
  • Placerville, CA
National Provider Identifier
1801542741
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
PT30309 Issued in CA
Practice address
4300 Forni Rd
Placerville, CA 95667-7013
Phone
(916) 642-7800
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 PT30309 CA Primary

Addresses

Primary practice location

4300 Forni Rd
Placerville, CA 95667-7013

Mailing address

700 Buster Chatham Rd Ste 36
Waco, TX 76705-5473
Phone (305) 250-8370

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
PT30309CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1801542741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BUSTER CHATHAM RD STE 36",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767055473",
            "telephone_number": "305-250-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 FORNI RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956677013",
            "telephone_number": "916-642-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHANAY",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "credential": "PSYCHIATRIC TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT30309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.