Active NPI
Joyce Bledsoe, PSYCHIATRIC TECHNICI
- Licensed Psychiatric Technician
- Sacramento, CA
National Provider Identifier
1962852731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT23648
- Practice address
- 630 Bercut Dr
Suite # C
Sacramento, CA 95811-0110 - Phone
- (916) 441-3819
- Fax
- (916) 441-8070
- NPI assigned
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT23648 | CA | Primary |
Addresses
Primary practice location
630 Bercut Dr
Suite # C
Sacramento, CA 95811-0110
Mailing address
630 Bercut Dr
Suite # C
Sacramento, CA 95811-0110
Phone (916) 441-3819
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 |
|---|---|---|---|
| PT23648 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1962852731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 BERCUT DR",
"address_2": "SUITE # C",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958110110",
"telephone_number": "916-441-3819",
"fax_number": "916-441-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 BERCUT DR",
"address_2": "SUITE # C",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958110110",
"telephone_number": "916-441-3819",
"fax_number": "916-441-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEDSOE",
"first_name": "JOYCE",
"credential": "PSYCHIATRIC TECHNICI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT23648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.