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

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  • 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
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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.
1033460761
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063860712
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 = 11

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
1083710594MS. 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 Worker1330 W RAMSEY ST STE 100
BANNING, CA 92220
(951) 849-7142
1275836181MRS. MICHELE RENE DIAZ
Individual
Counselor1330 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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