JOAN EVONNE TRABUCCO (NPI# 1528588506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528588506 |
| Entity Type | Individual |
| Full Name | JOAN EVONNE TRABUCCO |
| Credential | PSYCH TECH |
| Practice Address |
2060 Campus Dr Yreka CA 96097-9538 |
| Practice Telephone | 5308414745 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 30738 | CA | Nursing Service Providers |
| Street Address |
2060 CAMPUS DR |
| City | YREKA |
| State | CA |
| Zip Code | 96097-9538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025232 | Sarah Gates Collard | Psychologist | 2060 Campus Dr, Yreka, CA 96097-9538 | 2006-06-01 |
| 1902421217 | Christine Louise Tolman | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-06-11 |
| 1316562879 | Melinda Alice Klepach | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-06-10 |
| 1447879929 | Brian Nicholson | Registered Nurse | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-04-14 |
| 1710511225 | Vicki Bedford | Social Worker | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-02-24 |
| 1922632421 | Angie Mcknight | Licensed Vocational Nurse | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-02-24 |
| 1497389993 | Amanda Reiber | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-02-24 |
| 1437797107 | Jillyann Lowe | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2019-12-12 |
| 1720629751 | Loraine D Wisler | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2019-10-01 |
| 1881255016 | Mliss Jennings | Registered Nurse | 2060 Campus Dr, Yreka, CA 96097-9538 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376830653 | Paul William Willis | Pharmacist | 807 S. Main St., Yreka, CA 96097 | 2011-07-07 |
| 1578883864 | Ginger A Bert | Chiropractor | 106 Ranch Ln Ste A, Yreka, CA 96097 | 2010-06-09 |
| 1669796611 | Rebekah Joyce Retterath | Dietitian, Registered | 444 Bruce Street, Yreka, CA 96097 | 2010-03-19 |
| 1780849679 | Donna Jean May | Marriage & Family Therapist | 625 Butte Street, Yreka, CA 96097 | 2008-07-21 |
| 1114121589 | Loren Cronk | Marriage & Family Therapist | 208 4th Street, Yreka, CA 96097 | 2007-06-12 |
| 1093928863 | Kristin Rene Kopplin | Psychologist | 1515 South Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-08 |
| 1073735379 | Rivkah Lynn Barmore | Social Worker | 1515 S Oregon, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1649492091 | Randy Terry Murieen | Social Worker | 1515 S Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1265654537 | Roy Victor Hall Jr. | Social Worker | 1515 South Oregon St, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1578785614 | Meadowlark | Assisted Living Facility | 351 Bruce St, Yreka, CA 96097 | 2007-05-02 |
| Find all providers in zip 96097 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on JOAN EVONNE TRABUCCO.
| 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.