Individual provider · Type 1 NPI

Timothy Michael Jacobs

Licensed Psychiatric Technician · San Francisco, CA

NPI number 1407293749 Active

Practice location

1801 Vicente St
San Francisco, CA 94116-2923

Call (415) 681-3211 Map

Mailing address

3204 Shattuck Ave
Berkeley, CA 94705-1825

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X36563 (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 1407293749

Timothy Michael Jacobs's National Provider Identifier is 1407293749, issued on May 28, 2013. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Francisco, CA. The record was last updated on May 28, 2013.