Melissa Rubalcava in Fresno - Licensed Psychiatric Technician
Melissa Rubalcava - NPI 1386776433
Melissa Rubalcava is a Licensed Psychiatric Technician in Fresno, California. Melissa Rubalcava practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Melissa Rubalcava is 1386776433. The last update date is 2021-10-07.
Melissa Rubalcava's current location address is 4411 E Kings Canyon Rd # 319, Fresno, California. You can contact this provider via phone number 5596002382. The mailing address for Melissa Rubalcava is 4411 E Kings Canyon Rd # 319, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Rubalcava |
|---|---|
| Address | 4411 E Kings Canyon Rd # 319, Fresno, California |
| Phone Number | 5596002382 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.P.T. |
NPI Number Detail
| NPI Number | 1386776433 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2021-10-07 |
Provider Mailing Address Detail
| Address | 4411 E Kings Canyon Rd # 319 |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937023604 |
| Phone Number | 5596002382 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 32589 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1659419828 | CA | -- |
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What is the unique 10-digit identifier code assigned to Melissa Rubalcava by the Centers for Medicare & Medicaid Services?
The Melissa Rubalcava has been issued the NPI (National Provider Identifier) 1386776433 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Melissa Rubalcava located?
The Melissa Rubalcava is located at 4411 E Kings Canyon Rd # 319, Fresno, CA 937023604.
What is Melissa Rubalcava's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Melissa Rubalcava's specialized field of practice is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this area of specialization is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386776433 to Melissa Rubalcava?
The Centers for Medicare & Medicaid Services originally issued the 1386776433 to Melissa Rubalcava on 2007-03-12.
As of what date were the Melissa Rubalcava's details last updated?
The information pertaining to the Melissa Rubalcava, including its address, specialty, and other details, was most recently updated on 2021-10-07.