DONALD CLUTTER PT
NPI 1205174711
Licensed Psychiatric Technician in Santa Maria, CA

NPI Status: Active since January 18, 2013

Contact Information

212 CARMEN LN
SANTA MARIA, CA
ZIP 93458
Phone: (805) 205-7680

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  • Individual
  • Male
  • Licensed Psychiatric Technician

About DONALD CLUTTER

This page provides the complete NPI Profile along with additional information for Donald Clutter, a provider established in Santa Maria, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1205174711 assigned on January 2013. The practitioner's primary taxonomy code is 167G00000X with license number PT15664 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1205174711
Provider Name
DONALD CLUTTER PT
Gender
Male
Entity Type
Individual
Location Address
212 CARMEN LN SANTA MARIA, CA 93458
Location Phone
(805) 205-7680
Mailing Address
765 MESA VIEW DR # 240 ARROYO GRANDE, CA 93420
Mailing Phone
(760) 694-7409
Is Sole Proprietor?
No
Enumeration Date
01-18-2013
Last Update Date
08-16-2024
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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.
PT15664
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1374700000XNursing Service Related Providers

Technician

PT15664 (CA)

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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.
1205174711
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220527872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 2 + 7 + 8 + 7 + 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 1205174711 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609941046MS. MICHELLE R. BOWMAN R.N.
Individual
Registered Nurse212 CARMEN LN
SANTA MARIA, CA 93458
(805) 739-8701
1417087701MR. CARLOS UGALDE OLSON
Individual
Counselor (Mental Health)212 CARMEN LN
SANTA MARIA, CA 93458
(805) 884-6850
1770603458 CHRISTINE MARIE CLARKE IMFT
Individual
Marriage & Family Therapist212 CARMEN LN
SANTA MARIA, CA 93458
(805) 259-6426
1952589228TELECARE CORPORATION
Organization
Community Based Residential Treatment Facility, Mental Illness212 CARMEN LN
SANTA MARIA, CA 93458
(805) 739-8706
1639348212 MILTON WASHINGTON
Individual
Case Manager/Care Coordinator212 CARMEN LN
SANTA MARIA, CA 93458
(805) 348-1850
1528237104 YVETTE ORTEZA
Individual
Case Manager/Care Coordinator212 CARMEN LN
SANTA MARIA, CA 93458
(805) 348-1850
1134398720 SHARLENE SANCHEZ LVN
Individual
Licensed Vocational Nurse212 CARMEN LN
SANTA MARIA, CA 93458
(805) 348-1850
1003085689 DEBRA BULLEY
Individual
Case Manager/Care Coordinator212 CARMEN LN
SANTA MARIA, CA 93458
(805) 348-1850
1013186691 JOSEPH DONALD AVILA
Individual
Case Manager/Care Coordinator212 CARMEN LN
SANTA MARIA, CA 93458
(805) 348-1850
1124297700 AMANDA COHEN
Individual
Case Manager/Care Coordinator212 CARMEN LN
SANTA MARIA, CA 93458
(805) 348-1850
1346403219MS. CAROLYN FAYE TREES MFT-INTERN
Individual
Counselor (Mental Health)212 CARMEN LN
SANTA MARIA, CA 93458
(805) 801-2155
1952559346 REGINALD FULENWIDER
Individual
Case Manager/Care Coordinator212 CARMEN LN
SANTA MARIA, CA 93458
(805) 714-9585
1417108341 ISHMAEL CHAVEZ
Individual
Case Manager/Care Coordinator212 CARMEN LN
SANTA MARIA, CA 93458
(805) 714-9585
1952546574 LORETTA L CALDERON
Individual
Case Manager/Care Coordinator212 CARMEN LN 201
SANTA MARIA, CA 93458
(805) 739-8706
1184863706 CHERYL S SINCLAIR LVN
Individual
Case Manager/Care Coordinator212 CARMEN LN SUITE 201
SANTA MARIA, CA 93458
(805) 739-8706
1386883809 XENIA F TELL LPT
Individual
Case Manager/Care Coordinator212 CARMEN LN SUITE 201
SANTA MARIA, CA 93458
(805) 739-8706
1588803902 ANELYN PIMENTEL
Individual
Case Manager/Care Coordinator212 CARMEN LN SUITE 201
SANTA MARIA, CA 93458
(805) 739-8706
1417180522 LILLIANA HERNANDEZ PULIDO
Individual
Case Manager/Care Coordinator212 CARMEN LN SUITE 201
SANTA MARIA, CA 93458
(805) 739-8706
1124355078 GREG SHIBATA
Individual
Case Manager/Care Coordinator212 CARMEN LN SUITE 201
SANTA MARIA, CA 93458
(805) 739-8706
1073843058 SHUNDRIKA N DELANEY
Individual
Case Manager/Care Coordinator212 CARMEN LN
SANTA MARIA, CA 93458
(805) 739-8706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205174711, enumerated in the NPI registry as an "individual" on January 18, 2013

The provider is located at 212 Carmen Ln Santa Maria, Ca 93458 and the phone number is (805) 205-7680

The provider's speciality is Licensed Psychiatric Technician with taxonomy code 167G00000X

This NPI record was last updated on January 18, 2013. 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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