Individual provider · Type 1 NPI

Randall Thomas Jr.

Licensed Psychiatric Technician · San Luis Obispo, CA

NPI number 1043633902 Active

Practice location

2975 Mcmillan Ave Ste 164
San Luis Obispo, CA 93401-6768

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X34530 (CA)
Day Training/Habilitation Specialist 373H00000XNone listed

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 dis…

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About NPI 1043633902

Randall Thomas Jr.'s National Provider Identifier is 1043633902, issued on Jan 29, 2014. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Feb 2, 2026.