JUSTEN DAKOTA LEAGUE LPT
NPI 1245965888
Licensed Psychiatric Technician in San Luis Obispo, CA
NPI Status: Active since July 18, 2022
Contact Information
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 439-4890
- Individual
- Male
- Licensed Psychiatric Technician
About JUSTEN LEAGUE
This page provides the complete NPI Profile along with additional information for Justen League, a provider established in San Luis Obispo, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1245965888 assigned on July 2022. The practitioner's primary taxonomy code is 167G00000X with license number 41076 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1245965888
- Provider Name
- JUSTEN DAKOTA LEAGUE LPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401
- Location Phone
- (805) 439-4890
- Mailing Address
- 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401
- Mailing Phone
- (805) 781-4700
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-18-2022
- Last Update Date
- 01-03-2025
- Code Navigator
Location Map
Secondary Locations
- 2178 Johnson Ave
San Luis Obispo, CA 93401
(805) 781-4700
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.
- 41076
- 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 | 2 | 4 | 5 | 9 | 6 | 5 | 8 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 18 | 6 | 10 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 8 + 6 + 1 + 0 + 8 + 1 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1245965888 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1992567317 | JULIAN SOTTO Individual | Technician, Health Information | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4980 |
| 1033975479 | ELINA LANDIN Individual | Peer Specialist | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1134364755 | JANET M BROWN Individual | Counselor (Mental Health) | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1215084462 | MRS. BETHANY L.E. AURIOLES LPT Individual | Licensed Psychiatric Technician | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1932965449 | DAYNA WILKINSON Individual | Peer Specialist | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1457808446 | HEATHER BAILEY Individual | Social Worker (Clinical) | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4839 |
| 1316798598 | KIMBERLY CALDWELL Individual | Licensed Psychiatric Technician | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1407606106 | EVELYN SOTO Individual | Technician, Health Information | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1700593191 | BRETNEY PADILLA Individual | Licensed Psychiatric Technician | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1700638285 | LAVINDER BAGDWAL Individual | Licensed Psychiatric Technician | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1992460018 | MISS KATELYN ROSE GEIS Individual | Technician, Health Information | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1629627377 | EMILEE JEAN TURBEVILLE Individual | Technician, Health Information | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 438-4890 |
| 1598504953 | CAITLIN TEIXEIRA Individual | Technician, Health Information | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1669973624 | MS. LIZETH GEOVANNI MARTINEZ VALADEZ Individual | Case Manager/Care Coordinator | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1407230329 | SIERRA MENTAL WELLNESS GROUP Organization | Community/Behavioral Health | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 994-9915 |
| 1861128035 | RYAN JASON HOLLIDAY Individual | Technician, Health Information | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1700659976 | ANALEE SCOTT PRATER Individual | Case Manager/Care Coordinator | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1124857974 | NICHOLE MARIE WINTERS Individual | Technician, Health Information | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1912736760 | ALEX DANIELLE HERNANDEZ Individual | Technician, Health Information | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
| 1801668116 | FAITH ISABELLA ALVISO Individual | Case Manager/Care Coordinator | 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 (805) 439-4890 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245965888, enumerated in the NPI registry as an "individual" on July 18, 2022
The provider is located at 2975 Mcmillan Ave Ste 164 San Luis Obispo, Ca 93401 and the phone number is (805) 439-4890
The provider's speciality is Licensed Psychiatric Technician with taxonomy code 167G00000X
This NPI record was last updated on July 18, 2022. 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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