Leahann Vedella, PSYCHIATRIC TECH

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

36764 Issued in CA

Practice address

5275 Claremont Ave
Oakland, CA 94618-1032

Phone

(511) 428-3000

NPI assigned

Oct 23, 2020

Sex

Female

Sole proprietor

No

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1982203592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 CLAREMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181032",
            "telephone_number": "511-428-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 CLAREMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181032",
            "telephone_number": "511-428-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2398 Flatley Cir",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945338921",
            "country_code": "US",
            "telephone_number": "707-317-8422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEDELLA",
        "first_name": "LEAHANN",
        "credential": "PSYCHIATRIC TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "36764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VCP Home Health Care Bay Area Inc.
• Ulanda Michelle Veal, MD
• Lashonie Veals
• Yuri Alexander Veber, D.D.S., M.S.
• Kumar Vedantham, M.D.
• Nancy Veerhusen, PA
• Mayra Vega Hernandez, M.A.
• Brenda Vega-Ortiz
• Evelyn Vega
• Joe Steven Vega Jr.

• Licensed Psychiatric Technician in Oakland, CA
• Providers in Oakland, 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 Jun 6, 2022; 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.