Dorothy Jean Anderson, PSYCH TECH #30701

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT30701 Issued in CA

Practice address

17695 Industrial Farm Rd
Bakersfield, CA 93308-9520

Phone

(661) 291-7948

Fax

(661) 291-7978

NPI assigned

Mar 6, 2007

Sex

Female

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

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1831229368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021000",
            "telephone_number": "661-291-7948",
            "fax_number": "661-291-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17695 INDUSTRIAL FARM RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933089520",
            "telephone_number": "661-291-7948",
            "fax_number": "661-291-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DOROTHY",
        "middle_name": "JEAN",
        "credential": "PSYCH TECH #30701",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT30701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Margaret Anderson, RN
• Charles Anderson, DO
• Christy Anderson
• Cynthia Sue Anderson, BS
• Daijana L Anderson
• Gail Anderson
• Jay Rosamond Anderson, DMD
• Mandi Christine Anderson, MSN, APRN, FNP-BC
• Martha Anderson
• Maverick Christopher Anderson

• Licensed Psychiatric Technician in Bakersfield, CA
• Providers in Bakersfield, 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 Sep 22, 2015; 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.