Active NPI
Adam Lespinasse
- Licensed Psychiatric Technician
- San Jose, CA
National Provider Identifier
1932863487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 42124
- Practice address
- 1885 Lundy Ave Ste 223
San Jose, CA 95131-1888 - Phone
- (909) 763-4760
- NPI assigned
- Oct 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Licensed Psychiatric Technician | 167G00000X | 42124 | CA | Primary |
Addresses
Primary practice location
1885 Lundy Ave Ste 223
San Jose, CA 95131-1888
Mailing address
10932 Ragsdale Rd
Loma Linda, CA 92354-6546
Phone (909) 222-0463
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42124 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1932863487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10932 RAGSDALE RD",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923546546",
"telephone_number": "909-222-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 LUNDY AVE STE 223",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951311888",
"telephone_number": "909-763-4760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESPINASSE",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-29",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "42124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.