PRINCESS JARRELL (NPI# 1396394490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396394490 |
| Entity Type | Individual |
| Full Name | PRINCESS JARRELL |
| Practice Address |
3815 Marconi Ave Sacramento CA 95821-3867 |
| Practice Telephone | 9168903016 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 35954 | CA | Nursing Service Providers |
| Street Address |
3815 MARCONI AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992712715 | Sherah Khan | Marriage & Family Therapist | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2006-08-02 |
| 1265031330 | Aaron Alexander | Case Manager/Care Coordinator | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2020-10-20 |
| 1942808738 | Alicia Rae Tellez | Licensed Vocational Nurse | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2020-10-13 |
| 1962009563 | Briana Lee Jones | Case Manager/Care Coordinator | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2020-10-06 |
| 1194322941 | Brenda B Osorio Flores | Case Manager/Care Coordinator | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2020-10-05 |
| 1770180820 | Brenda Camacho Rodriguez | Case Manager/Care Coordinator | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2020-10-01 |
| 1114524253 | Jaida-keleni Alohapuuwai Kafovalu | Case Manager/Care Coordinator | 3815 Marconi Ave, Sacramento, CA 95821 | 2020-10-01 |
| 1518436930 | Saira Kaur Uppal | Case Manager/Care Coordinator | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2018-11-14 |
| 1528556974 | Brooke Anne Johnson | Case Manager/Care Coordinator | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2018-05-01 |
| 1285121947 | Dominique Sade Brown | Counselor | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2018-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| 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 |
| 1699258392 | Odubanke Yewande Mcgaugh | Licensed Psychiatric Technician | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2018-09-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
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| 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.