PROF. REMEDIOS AGUADA WALLACE
NPI 1639294341
Licensed Psychiatric Technician in Stockton, CA

NPI Status: Active since March 20, 2007

Contact Information

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-8842

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  • Individual
  • Female
  • Licensed Psychiatric Technician

About REMEDIOS WALLACE

This page provides the complete NPI Profile along with additional information for Remedios Wallace, a provider established in Stockton, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1639294341 assigned on March 2007. The practitioner's primary taxonomy code is 167G00000X with license number PT24227 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1639294341
Provider Name
PROF. REMEDIOS AGUADA WALLACE
Gender
Female
Entity Type
Individual
Location Address
1212 N CALIFORNIA ST STOCKTON, CA 95202
Location Phone
(209) 468-8842
Mailing Address
1212 N CALIFORNIA ST STOCKTON, CA 95202
Mailing Phone
(209) 468-8842
Is Sole Proprietor?
No
Enumeration Date
03-20-2007
Last Update Date
07-08-2007
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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.
PT24227
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.
1639294341
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266949838
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 9 + 8 + 3 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1639294341 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
1184732117DR. ADEGOKE ADEYEMO M.D.
Individual
Psychiatry & Neurology (Psychiatry)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8491
1225152424MRS. LINDA RAMSAY OCLARAY MASTER OF ARTS
Individual
Marriage & Family Therapist1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 953-7463
1306960331MRS. ANNALIZA LAGRUTTA MA
Individual
Marriage & Family Therapist1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8644
1780709014MR. GARY A. GRAY PT
Individual
Counselor (Mental Health)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8700
1124143474MS. SHIRLEY ANN HOLLOWELL R.N.
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 953-1033
1699890921MR. RICHARD ANTHONY BENITEZ MHC I
Individual
Marriage & Family Therapist1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8700
1649396045MRS. CYNTHIA L MORISHIGE LCSW
Individual
Social Worker (Clinical)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8643
1033235304MS. DEBRA L. GRINSTEAD R. N.
Individual
Registered Nurse1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8843
1235256207MR. JOHN D SCHAEFFER MFT
Individual
Marriage & Family Therapist1212 N CALIFORNIA ST INPATIENT
STOCKTON, CA 95202
(209) 468-8082
1811014780MS. SUSAN MARIE GRUBER MSW
Individual
Social Worker1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-3760
1770601304MR. CHRISTOPHER EGONIO
Individual
Case Manager/Care Coordinator1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-3760
1114044799MR. PAUL DAVID WALLACE
Individual
Licensed Psychiatric Technician1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-3760
1417074071MS. GLORIA ANN GREENING PSYCHIATRIC TECHNICI
Individual
Licensed Psychiatric Technician1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8660
1366560112 ROBERT S GRAFF M.D.
Individual
Psychiatry & Neurology (Psychiatry)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-6937
1255459061 MARIA ELIZABETH ARROYO R N
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8660
1295853299 LINDA JANE JEFFRY BRETT R.N.
Individual
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-2385
1073631727 DEBBY ANN LIMAS RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8660
1659490720MRS. MARY ANDRES
Individual
Counselor (Mental Health)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8819
1871612697MS. ADRIANA M. CRUZ ASW
Individual
Social Worker1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-2385
1760502462 REBECCA SUZANNE GALVEZ P.T.
Individual
Licensed Psychiatric Technician1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639294341, enumerated in the NPI registry as an "individual" on March 20, 2007

The provider is located at 1212 N California St Stockton, Ca 95202 and the phone number is (209) 468-8842

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

This NPI record was last updated on March 20, 2007. 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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