MR. JEFFREY BISHOP (NPI# 1073937363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073937363 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY BISHOP |
| Credential | LPT |
| Practice Address |
900 Fulton Ave 205 Sacramento CA 95825-4500 |
| Mailing Address |
900 Fulton Ave 205 Sacramento CA 95825 |
| Practice Telephone | 9164843570 |
| Practice Fax Number | 9164843577 |
| Mailing Telephone | 9164843570 |
| Mailing Fax Number | 9164843577 |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT25842 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194916320 | Jeffrey Paul Bishop | Internal Medicine | 319 Oxford House, Nashville, TN 37232-4350 | 2007-08-05 |
| 1568429017 | Jeffrey William Bishop | Specialist/Technologist | Deland High School, 800 N. Hill Ave, Deland, FL 32724 | 2006-04-27 |
| 1235192659 | Jeffrey Mark Bishop | Family Medicine | 1760 Annandale Cir, Royal Palm Beach, FL 33411-6103 | 2006-04-07 |
| 1811974751 | Jeffrey Marshall Bishop | Psychiatry & Neurology | 1320 Woodmand Dr, Suite 200, Dayton, OH 45432 | 2005-12-30 |
| 1396018636 | Jeffrey Bishop | Counselor | 1724 Village Way, Suite A, Orange Park, FL 32073-5264 | 2012-02-16 |
| 1548586373 | Jeffrey Scott Bishop | Physician Assistant | 7200b Cambridge St, Suite E5.101, Houston, TX 77030-4202 | 2010-04-19 |
| 1225350333 | Jeffrey R Bishop | Pharmacist | 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416-1275 | 2010-02-17 |
| 1356463103 | Jeffrey Todd Bishop | Social Worker | 114 S Main St, Findlay, OH 45840-3424 | 2007-04-04 |
| Street Address |
900 FULTON AVE 205 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528074770 | Shannan Natalie Taylor | Marriage & Family Therapist | 900 Fulton Ave, 205, Sacramento, CA 95825-4500 | 2006-07-31 |
| 1023621950 | Kyle Brent Odesha | Community Health Worker | 900 Fulton Ave, Sacramento, CA 95825-4500 | 2020-08-29 |
| 1346869294 | Jessica Sheppard | Case Manager/Care Coordinator | 900 Fulton Ave, Sacramento, CA 95825-4500 | 2020-04-10 |
| 1013566934 | Alexis Pope | Case Manager/Care Coordinator | 900 Fulton Ave, Sacramento, CA 95825-4500 | 2019-09-04 |
| 1932754199 | Rebecca Nelson | Case Manager/Care Coordinator | 900 Fulton Ave, Sacramento, CA 95825-4500 | 2019-08-05 |
| 1689233124 | Rana Ghaemmaghami | Student in an Organized Health Care Education/Training Program | 900 Fulton Ave, Sacramento, CA 95825-4500 | 2019-06-09 |
| 1861960023 | Ryan Dexter Lacy | Case Manager/Care Coordinator | 900 Fulton Ave, Sacramento, CA 95825-4500 | 2018-11-06 |
| 1780165589 | Jennifer Watson | Case Manager/Care Coordinator | 900 Fulton Ave, Sacramento, CA 95825-4500 | 2018-08-28 |
| 1922501915 | Andrea May Mahone | Case Manager/Care Coordinator | 900 Fulton Ave, Sacramento, CA 95825 | 2018-03-15 |
| 1043739329 | Austin Clinton Smith | Case Manager/Care Coordinator | 900 Fulton Ave, Sacramento, CA 95825-4500 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245374966 | Kathy Mary Simms | Licensed Psychiatric Technician | 6615 Valley Hi Dr # A, Sacramento, CA 95823-4601 | 2007-02-16 |
| 1609972223 | Sallyann Smith | Licensed Psychiatric Technician | 9337 Heathfield Way, Sacramento, CA 95829-6081 | 2006-09-15 |
| 1811090723 | Elizabeth Ann Hayes | Licensed Psychiatric Technician | 811 Grand Ave Suite D, Sacramento, CA 95822-3466 | 2006-09-06 |
| 1275644718 | Levi Aaron Combs | Licensed Psychiatric Technician | 2045 W El Camino Ave Apt 455, Sacramento, CA 95833-1481 | 2006-08-31 |
| 1558384321 | Joseph Warren Gibbs | Licensed Psychiatric Technician | 8036 Center Pkwy, Sacramento, CA 95823-5243 | 2006-07-25 |
| 1356940159 | Hadia N Khalil | Licensed Psychiatric Technician | 401 S St, Sacramento, CA 95811-6919 | 2020-10-22 |
| 1316557465 | Bintu Sia Sorie | Licensed Psychiatric Technician | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2020-08-04 |
| 1770119893 | Crystal D Washington | Licensed Psychiatric Technician | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-03-20 |
| 1023659182 | Theresa Ann Jordan | Licensed Psychiatric Technician | 6950 65th St, Sacramento, CA 95823-2316 | 2019-09-30 |
| 1396394490 | Princess Jarrell | Licensed Psychiatric Technician | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2019-09-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on MR. JEFFREY BISHOP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.