Individual provider · Type 1 NPI

John Gibson

Licensed Psychiatric Technician · Long Beach, CA

NPI number 1114190667 Active

Practice location

1775 Chestnut Ave
Long Beach, CA 90813-1674

Call (310) 707-4318 Map

Fax (000) 000-0000

Mailing address

4735 Hayter Ave
Lakewood, CA 90712-3508

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT23156 (CA)

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 1114190667

John Gibson's National Provider Identifier is 1114190667, issued on Apr 4, 2008. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Long Beach, CA. The record was last updated on Dec 3, 2025.