Active NPI
Linda Jo Fillio, PT
- Licensed Psychiatric Technician
- San Jose, CA
National Provider Identifier
1972765311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT 23741
- Practice address
- 2001 The Alameda
San Jose, CA 95126-1136 - Phone
- (408) 261-7777
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- No
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 | PT 23741 | CA | Primary |
Addresses
Primary practice location
2001 The Alameda
San Jose, CA 95126-1136
Mailing address
367 Chateau la Salle Dr
San Jose, CA 95111-3027
Phone (408) 298-9610
Other names 1
- Linda Jo Timmons, May, Latham
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 |
|---|---|---|---|
| PT 23741 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1972765311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 CHATEAU LA SALLE DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951113027",
"telephone_number": "408-298-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261136",
"telephone_number": "408-261-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILLIO",
"first_name": "LINDA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT 23741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "TIMMONS, MAY, LATHAM",
"middle_name": "JO",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.