Individual provider Active NPI

Holly Lindenthaler, LPT

  • Licensed Psychiatric Technician
  • San Luis Obispo, CA
National Provider Identifier
1891025607
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
PT18273 Issued in CA
Practice address
1012 Vista del Collados
San Luis Obispo, CA 93405-4822
Phone
(805) 544-0626
NPI assigned
Dec 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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 PT18273 CA Primary

Addresses

Primary practice location

1012 Vista del Collados
San Luis Obispo, CA 93405-4822

Mailing address

1012 Vista del Collados
San Luis Obispo, CA 93405-4822
Phone (805) 544-0626

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
PT18273CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1891025607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 VISTA DEL COLLADOS",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934054822",
            "telephone_number": "805-544-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 VISTA DEL COLLADOS",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934054822",
            "telephone_number": "805-544-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDENTHALER",
        "first_name": "HOLLY",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT18273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.