Mary Redempta Macavoray in San Jose - Licensed Psychiatric Technician
Mary Redempta Macavoray - NPI 1285764845
Mary Redempta Macavoray is a Licensed Psychiatric Technician in San Jose, California. Mary Redempta Macavoray practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Mary Redempta Macavoray is 1285764845. The last update date is 2023-03-28.
Mary Redempta Macavoray's current location address is 436 N White Rd, San Jose, California. You can contact this provider via phone number 4082690760 and fax number 4086426052. The mailing address for Mary Redempta Macavoray is 436 N White Rd, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Redempta Macavoray |
|---|---|
| Address | 436 N White Rd, San Jose, California |
| Phone Number | 4082690760 |
| Fax Number | 4086426052 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285764845 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2023-03-28 |
Provider Mailing Address Detail
| Address | 436 N White Rd |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951271439 |
| Phone Number | 4082690760 |
| Fax Number | 4086426052 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 35027 |
|
Definition: 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 psych |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Redempta Macavoray by the Centers for Medicare & Medicaid Services?
The Mary Redempta Macavoray has been assigned the NPI (National Provider Identifier) 1285764845 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mary Redempta Macavoray's facilities are situated?
The facilities of Mary Redempta Macavoray are physically located at the following address: 436 N White Rd, San Jose, CA, 951271439.
What is the Mary Redempta Macavoray's area of specialization and corresponding taxonomy classification?
The Mary Redempta Macavoray's specialty field is Licensed Psychiatric Technician, and it falls under the taxonomy code 167G00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1285764845 to Mary Redempta Macavoray?
The Centers for Medicare & Medicaid Services assigned the 1285764845 to Mary Redempta Macavoray on 2007-03-06.
As of what date were the details related to Mary Redempta Macavoray most recently updated or revised?
The information pertaining to Mary Redempta Macavoray, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-28.