TYREE ADAIR (NPI# 1205954997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205954997 |
Entity Type | Individual |
Full Name | TYREE ADAIR |
Credential | LPT |
Practice Address |
12625 Hesperia Road Victorville CA 92392 |
Practice Telephone | 7609551777 |
Mailing Telephone | 7609551777 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2007-09-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | PT29437 | CA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LICENSED PSYCHIATRIC TECH | PT29437 | 01 |
Street Address |
12625 HESPERIA ROAD |
City | VICTORVILLE |
State | CA |
Zip Code | 92392 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528103199 | B Schweitzer | Marriage & Family Therapist | 12625 Hesperia Road, Victor Valley Behavioral Health Clinic, Victorville, CA 92395 | 2007-02-21 |
1447407713 | Kevin Patrick Lee | Marriage & Family Therapist | 12625 Hesperia Road, Victorville, CA 92395 | 2008-08-19 |
1740464791 | Darlene Weaver | Licensed Psychiatric Technician | 12625 Hesperia Road, Victorville, CA 92392 | 2007-12-27 |
1871774380 | Daniel Wood | Counselor | 12625 Hesperia Road, Victorville, CA 92392 | 2007-11-27 |
1639365596 | Leanne Coon | Social Worker | 12625 Hesperia Road, Victorville, CA 92392 | 2007-09-24 |
1740484476 | Pamela Cork | Registered Nurse | 12625 Hesperia Road, Victorville, CA 92392 | 2007-06-14 |
1992820278 | Denise Marie Hayes | Case Manager/Care Coordinator | 12625 Hesperia Road, Victorville, CA 92395 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
Find all providers in zip 92392 |
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 |
---|---|---|---|---|
1245545052 | Madai Lopez | Licensed Psychiatric Technician | 13169 Solar Bay Ln, Victorville, CA 92394-9523 | 2010-08-17 |
1063865905 | Marlene Garcia | Licensed Psychiatric Technician | 12240 Hesperia Rd, Suite A, Victorville, CA 92395-8309 | 2016-07-15 |
1609153261 | Erin-marie Burke | Licensed Psychiatric Technician | 16460 Victor St, Victorville, CA 92395-3918 | 2011-11-10 |
1366761702 | Michael Martin | Licensed Psychiatric Technician | 16460 Victor St, Victorville, CA 92395-3918 | 2010-05-25 |
1902063936 | Letisha Dixon | Licensed Psychiatric Technician | 16460 Victor St, Victorville, CA 92395-3918 | 2008-05-19 |
1740464791 | Darlene Weaver | Licensed Psychiatric Technician | 12625 Hesperia Road, Victorville, CA 92392 | 2007-12-27 |
1790968774 | Michelle Collier | Licensed Psychiatric Technician | 16460 Victor St, Victorville, CA 92395-3918 | 2007-12-12 |
1437295268 | Keith Brian Raymond | Licensed Psychiatric Technician | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2007-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
Find all providers with the same taxonomy |
City | VICTORVILLE |
Zip Code | 92392 |
Please comment or provide details below to improve the information on TYREE ADAIR.
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.