Individual provider · Type 1 NPI

Kifle Tsegaw Melisse, LPT

Licensed Psychiatric Technician · Gilroy, CA

NPI number 1215618525 Active

Practice location

1215 1st St
Gilroy, CA 95020-4733

Call (408) 852-2481 Map

Mailing address

9700 Sedona Way
Gilroy, CA 95020-9617

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X40207 (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 1215618525

Kifle Tsegaw Melisse, LPT's National Provider Identifier is 1215618525, issued on Jul 28, 2023. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Gilroy, CA. The record was last updated on Jul 28, 2023.