Individual provider · Type 1 NPI

Christina Nampudakam

Licensed Psychiatric Technician · Santa Rosa, CA

NPI number 1336057207 Active

Practice location

790 Sonoma Ave
Santa Rosa, CA 95404-4713

Call (707) 544-3295 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT40500 (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 1336057207

Christina Nampudakam's National Provider Identifier is 1336057207, issued on Aug 31, 2026. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 31, 2026.