Individual provider · Type 1 NPI

Clark Sugabo, LPT

Licensed Psychiatric Technician · San Jose, CA

NPI number 1467358416 Active

Practice location

1922 The Alameda Ste 316
San Jose, CA 95126-1461

Call (408) 261-7777 Map

Fax (408) 642-6052

Mailing address

1257 Bluff Ave
King City, CA 93930-3631

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	43422 (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 1467358416

Clark Sugabo, LPT's National Provider Identifier is 1467358416, issued on Oct 16, 2026. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Jose, CA. The record was last updated on Oct 16, 2026.