Individual provider · Type 1 NPI

Phyllis Louise Rodriguez

Licensed Psychiatric Technician · Fresno, CA

NPI number 1619370004 Active

Practice location

496 S Barton Ave
Fresno, CA 93702-2985

Call (559) 374-3990 Map

Mailing address

3420 Winter Way
Madera, CA 93637-5956

Other practice locations

  • 3147 N Millbrook Ave, Fresno, CA 93703-1425 · (559) 600-6760
  • 301 E 13th St Ste D, Merced, CA 95341-6211 · (209) 386-1096

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT 35583 (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 1619370004

Phyllis Louise Rodriguez's National Provider Identifier is 1619370004, issued on Sep 30, 2014. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fresno, CA. The record was last updated on Jul 20, 2023.