Individual provider · Type 1 NPI

Fejiro Elo Okumo

Licensed Psychiatric Technician · Fairfield, CA

NPI number 1538064357 Active

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Call (707) 428-1131 Map

Fax (707) 399-9170

Mailing address

1120 Legion Ct
Dixon, CA 95620-9308

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT43404 (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 1538064357

Fejiro Elo Okumo's National Provider Identifier is 1538064357, issued on Oct 12, 2026. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fairfield, CA. The record was last updated on Oct 12, 2026.