Individual provider · Type 1 NPI

Evelyn Rosie Jackson

Licensed Psychiatric Technician · Redwood City, CA

NPI number 1609535756 Active

Practice location

240 Edmonds Rd
Redwood City, CA 94062-3813

Call (650) 209-1100 Map

Mailing address

240 Edmonds Rd Bldg D
Redwood City, CA 94062-3813

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	29981 (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 1609535756

Evelyn Rosie Jackson's National Provider Identifier is 1609535756, issued on Dec 15, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Redwood City, CA. The record was last updated on Sep 10, 2026.