JOYCE BLEDSOE (NPI# 1962852731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962852731 |
Entity Type | Individual |
Full Name | JOYCE BLEDSOE |
Credential | PSYCHIATRIC TECHNICI |
Practice Address |
630 Bercut Dr Suite # C Sacramento CA 95811-0110 |
Practice Telephone | 9164413819 |
Practice Fax Number | 9164418070 |
Mailing Telephone | 9164413819 |
Mailing Fax Number | 9164418070 |
Enumeration Date | 2016-06-13 |
Last Update Date | 2016-06-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | PT23648 | CA | Nursing Service Providers |
Street Address |
630 BERCUT DR SUITE # C |
City | SACRAMENTO |
State | CA |
Zip Code | 95811-0110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811012784 | Carol Ann Legnitto | Counselor | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2007-03-20 |
1477185692 | Sabrina Claire Bruce | Case Manager/Care Coordinator | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2020-02-05 |
1508407479 | Alexander Christopher Porter | Case Manager/Care Coordinator | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2019-10-02 |
1982255022 | Venessa Elizabeth Goodman | Student in an Organized Health Care Education/Training Program | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2019-09-20 |
1851941017 | Bradley Bergan | Licensed Vocational Nurse | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2019-09-18 |
1164996500 | Javier Pimentel Jr. | Case Manager/Care Coordinator | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2019-01-18 |
1891270682 | Brendan Chandar | Case Manager/Care Coordinator | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2018-09-27 |
1013491315 | Kelly Ann Latimer | Counselor | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2018-09-21 |
1982197505 | Victoria Elena Lane | Student in an Organized Health Care Education/Training Program | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2018-06-08 |
1841714128 | Isela Sahagun | Counselor | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2017-07-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154891190 | Teresa Sy | Behavior Technician | 610 Bercut Dr. Suite B, Sacramento, CA 95811 | 2018-12-03 |
1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
1669956801 | Andrea Martinez | Counselor | 600 Bercut Dr., Sacramento, CA 95811 | 2018-09-24 |
1174000855 | Clinicians Connect Care Home Health & Hospice Services | Home Health | 716 19th Street, Suite 200, Sacramento, CA 95811 | 2018-07-25 |
1992202345 | Benjamin James Leibold | Behavior Technician | 610 Bercut Drive, Suite B, Sacramento, CA 95811 | 2018-04-11 |
1669979233 | Aja Jones | Counselor | 401 S Street, Sacramento, CA 95811 | 2018-04-10 |
1821511916 | Lucas John Monaco | Counselor | 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 | 2017-07-20 |
1275089963 | Sergio Vicuna, D.d.s., Inc | Dentist | 1804 19th St, Suite 100, Sacramento, CA 95811 | 2016-09-01 |
1386057495 | Chelsea Turner | Counselor | 600 Bercut Drive, Sacramento, CA 95811 | 2014-06-05 |
1427473636 | Sidney Caldwell | Counselor | 401 S Street Sacramento, Sacramento, CA 95811 | 2014-02-25 |
Find all providers in zip 95811 |
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 | 95811 |
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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.