Individual provider · Type 1 NPI

Renee Ivory

Licensed Psychiatric Technician · Beaumont, CA

NPI number 1619763786 Active

Practice location

835 Highland Springs Ave Ste 210
Beaumont, CA 92223-5771

Fax (951) 743-0094

Mailing address

840 N Avenue 66
Los Angeles, CA 90042-1508

Other practice locations

  • 490 S Farrell Dr, Palm Springs, CA 92262-7992 · (626) 395-7100
  • 840 N Avenue 66, Los Angeles, CA 90042-1508 · (626) 395-7100

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XNone listed

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…

Another provider at this address

About NPI 1619763786

Renee Ivory's National Provider Identifier is 1619763786, issued on Apr 16, 2025. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Beaumont, CA. The record was last updated on Jul 15, 2025.