AGATHA N IHENACHO (NPI# 1871622761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871622761 |
| Entity Type | Individual |
| Full Name | AGATHA N IHENACHO |
| Other Name | AGATHA N EZEKA |
| Credential | LPT |
| Practice Address |
455 Silicon Valley Blvd San Jose CA 95138 |
| Mailing Address |
6381 Blackberry Ct Gilroy CA 95020-3424 |
| Practice Telephone | 4082849000 |
| Mailing Telephone | 4088489802 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT31594 | CA | Nursing Service Providers |
| Street Address |
455 SILICON VALLEY BLVD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306938402 | Starlight Adolescent Center | Community/Behavioral Health | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2006-09-28 |
| 1124681127 | Kruti Rawal | Pharmacist | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2019-04-16 |
| 1144600784 | Ana Lopez Rojas | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2015-06-08 |
| 1508252149 | Sjbh, LLC | Psychiatric Hospital | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2015-04-10 |
| 1053632059 | Nathaniel Grant Sharon | Psychiatry & Neurology | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2010-06-14 |
| 1477784775 | Crystal Estrada | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2009-08-04 |
| 1508039124 | Peter Hernandez | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2008-04-03 |
| 1841460995 | Lashurn Michelle Ferrell | Counselor | 455 Silicon Valley Blvd, Human Resources, San Jose, CA 95138-1858 | 2008-03-05 |
| 1376712174 | John Mark Kane | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2008-02-26 |
| 1154599892 | Mei-yan Chiang | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2008-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1548690324 | Megan Chang | Occupational Therapist | 5900, Pistoia Way, San Jose, CA 95138 | 2013-11-15 |
| 1720428410 | Cristina Duenas | Social Worker | 5855 Silver Creek Valley Pl, San Jose, CA 95138 | 2013-06-27 |
| 1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
| 1871847889 | Rebecca Kerry Van Sickle | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2012-10-30 |
| 1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
| 1043406713 | Umaru Fofana | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138 | 2007-09-17 |
| 1316140569 | Dickman & Bourla Chiropractic Inc | Chiropractor | 2311 Silver Breeze Ct, San Jose, CA 95138 | 2007-06-06 |
| 1508983032 | Traci Pickett | Counselor | 9500 Malech Road, San Jose, CA 95138 | 2007-03-22 |
| Find all providers in zip 95138 | ||||
| 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 |
|---|---|---|---|---|
| 1144716705 | Esmeralda Tinoco | Licensed Psychiatric Technician | 871 Enborg Court, San Jose, CA 95128 | 2018-07-06 |
| 1346754025 | Isata S Mbawa | Licensed Psychiatric Technician | 4987 Speak Ln, San Jose, CA 95118-2767 | 2017-11-16 |
| 1629512421 | Godwin Kebila Kaba | Licensed Psychiatric Technician | 344 Los Pinos Way, San Jose, CA 95123-5117 | 2016-12-13 |
| 1457762767 | Baltazar Pulido | Licensed Psychiatric Technician | 2459 Jubilee Ln, San Jose, CA 95131-1987 | 2014-05-08 |
| 1750404570 | Jose Soliz | Licensed Psychiatric Technician | 277 Omira Dr, San Jose, CA 95123-3635 | 2007-04-08 |
| 1437756913 | Juan Ramon Zago | Licensed Psychiatric Technician | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2020-10-07 |
| 1851916415 | Zekarias Eyassu | Licensed Psychiatric Technician | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2020-06-10 |
| 1780207571 | Andrea Hernandez | Licensed Psychiatric Technician | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2020-05-27 |
| 1700426350 | Christianna Paula Mathews | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-01-12 |
| 1376189928 | Alma Valencia Chacon | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-11-19 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on AGATHA N IHENACHO.
| 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.