Tamara Yvette Prentice, LICENSED PSYCH TECH

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT 30071 Issued in CA

Practice address

4024 Durfee Ave
El Monte, CA 91732-2510

Phone

(626) 258-2004

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891879474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S VERMONT AVE",
            "address_2": "EOB/PMRT 10TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201912",
            "telephone_number": "626-258-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 DURFEE AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322510",
            "telephone_number": "626-258-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "TAMARA",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "LICENSED PSYCH TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT 30071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Potts-Jackson
• Todd A Powers
• Sonia Preciado-Corona
• Abraham Preciado, ASW
• Irazema Preciado
• Ethel Price
• Prime Health Medical Group, Inc.
• Johnathon Scott Primmer, RDN
• Prototypes Centers for Innovation in Health, Mental Health and Social
• Prototypes Centers for Innovation in Health, MH, & Social Services

• Licensed Psychiatric Technician in El Monte, CA
• Providers in El Monte, 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 Jul 8, 2007; 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.