MS. MICHELLE DENISE JACKSON LPT
NPI 1033460761
Licensed Psychiatric Technician in Banning, CA
NPI Status: Active since September 20, 2012
Contact Information
1330 W RAMSEY ST STE 100
BANNING, CA
ZIP 92220
Phone: (951) 849-7142
Fax: (951) 849-1762
- Individual
- Female
- Licensed Psychiatric Technician
About MICHELLE JACKSON
This page provides the complete NPI Profile along with additional information for Michelle Jackson, a provider established in Banning, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1033460761 assigned on September 2012. The practitioner's primary taxonomy code is 167G00000X with license number PT 30277 (CA). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1033460761
- Provider Name
- MS. MICHELLE DENISE JACKSON LPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1330 W RAMSEY ST STE 100 BANNING, CA 92220
- Location Phone
- (951) 849-7142
- Location Fax
- (951) 849-1762
- Mailing Address
- 1330 W RAMSEY ST STE 100 BANNING, CA 92220
- Mailing Phone
- (951) 849-7142
- Mailing Fax
- (951) 849-1762
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2012
- Last Update Date
- 09-20-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Psychiatric Technician
- Taxonomy Code
- 167G00000X
- Type
- Nursing Service Providers
- License No.
- PT 30277
- License State
- CA
- Taxonomy Description
- 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 disorders and developmental disabilities.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 3 | 3 | 4 | 6 | 0 | 7 | 6 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 6 | 3 | 8 | 6 | 0 | 7 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 6 + 3 + 8 + 6 + 0 + 7 + 1 + 2 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1033460761 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1083710594 | MS. PAMELA SUZANNE GENGO LCSW Individual | Social Worker (Clinical) | 1330 W RAMSEY ST STE 100 BANNING MENTAL HEALTH CLINIC BANNING, CA 92220 (951) 849-7142 |
1760602858 | FLORA IRENE PEREZ MSW, ASW Individual | Social Worker | 1330 W RAMSEY ST STE 100 BANNING, CA 92220 (951) 849-7142 |
1275836181 | MRS. MICHELE RENE DIAZ Individual | Counselor | 1330 W RAMSEY ST STE 100 BANNING, CA 92220 (951) 849-7142 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033460761, enumerated in the NPI registry as an "individual" on September 20, 2012
The provider is located at 1330 W Ramsey St Ste 100 Banning, Ca 92220 and the phone number is (951) 849-7142
The provider's speciality is Licensed Psychiatric Technician with taxonomy code 167G00000X
This NPI record was last updated on September 20, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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