Organization Active NPI

Psychsis LTD Liability Company

  • Licensed Psychiatric Technician
  • Coalinga, CA
National Provider Identifier
1851010672
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
Legal business name
PSYCHSIS LTD LIABILITY COMPANY
Practice address
351 Warthan St Apt 120
Coalinga, CA 93210-2654
Phone
(559) 404-9387
NPI assigned
Aug 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Mrs. Janeisa Tadongdouonnang, LPTNPI 1144996216
Title
Owner/Manager
Phone
(559) 404-9387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 167G00000X Primary

Addresses

Primary practice location

351 Warthan St Apt 120
Coalinga, CA 93210-2654

Mailing address

351 Warthan St Apt 120
Coalinga, CA 93210-2654
Phone (559) 404-9387

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1851010672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 WARTHAN ST APT 120",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932102654",
            "telephone_number": "559-404-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WARTHAN ST APT 120",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932102654",
            "telephone_number": "559-404-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHSIS LTD LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "TADONGDOUONNANG",
        "authorized_official_first_name": "JANEISA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "559-404-9387",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coalinga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.