Individual provider · Type 1 NPI

Regina Irma Mendoza

Licensed Psychiatric Technician · Lodi, CA

NPI number 1992421150 Active

Practice location

541 S Ham Ln Ste A&b
Lodi, CA 95242-3059

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X43021 (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 1992421150

Regina Irma Mendoza's National Provider Identifier is 1992421150, issued on Oct 18, 2022. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Lodi, CA. The record was last updated on Sep 2, 2025.