Individual provider · Type 1 NPI

Kelvin Kutwa

Licensed Psychiatric Technician · San Jose, CA

NPI number 1790551190 Active

Practice location

210 N 4th St
San Jose, CA 95112-5569

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	41818 (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 1790551190

Kelvin Kutwa's National Provider Identifier is 1790551190, issued on Nov 28, 2023. 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 Aug 13, 2026.