BROOKE J JORDAN PT
NPI 1689917510
Licensed Psychiatric Technician in San Luis Obispo, CA

NPI Status: Active since March 28, 2013

Contact Information

2178 JOHNSON AVE
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 781-4700

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  • Individual
  • Female
  • Licensed Psychiatric Technician

About BROOKE JORDAN

This page provides the complete NPI Profile along with additional information for Brooke Jordan, 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 1689917510 assigned on March 2013. The practitioner's primary taxonomy code is 167G00000X with license number 36330 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1689917510
Provider Name
BROOKE J JORDAN PT
Gender
Female
Entity Type
Individual
Location Address
2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401
Location Phone
(805) 781-4700
Mailing Address
2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401
Mailing Phone
(805) 781-4700
Is Sole Proprietor?
No
Enumeration Date
03-28-2013
Last Update Date
03-28-2013
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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.
36330
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.
1689917510
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691811452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 8 + 1 + 1 + 4 + 5 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1689917510 is valid because the calculated check digit 0 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
1114919263DR. JEFFREY BRUCE ELLIOTT PSYD
Individual
Psychologist (Clinical)2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-5525
1831125996DR. CAROLYN ANN MURPHY PHD
Individual
Psychologist (Cognitive & Behavioral)2178 JOHNSON AVE SAN LUIS OBISPO COUNTY MENTAL HEALTH
SAN LUIS OBISPO, CA 93401
(805) 440-7093
1861426652 RONALD G MORGAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 473-7060
1245303783MR. CHRISTOPHER WILLIAM CUSICK B.S.
Individual
Counselor2178 JOHNSON AVE SAN LUIS OBISPO COUNTY MENTAL HEALTH SERVICES
SAN LUIS OBISPO, CA 93401
(805) 541-5144
1669540068 MARJORIE LYNN GRIZZARD LMFT
Individual
Marriage & Family Therapist2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 226-3208
1790843803MS. JANET CUSHING AMANZIO RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4732
1750449765MR. GERALD EUGENE CLARE LCSW
Individual
Social Worker (Clinical)2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4733
1295893444MS. THERESA CECILIA DESMOND R.N.
Individual
Registered Nurse2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4700
1235297136 WILAIM DAVID BOORMAN PSYCHIATRIC TECHNICI
Individual
Licensed Psychiatric Technician2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 237-3170
1073671285 LINDA DARLENE WINBORNE RN
Individual
Registered Nurse2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4700
1518025725MRS. CAROLYN NMN SHIVELY
Individual
Licensed Psychiatric Technician2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4738
1083772933MR. JASON MICHAEL HOOSON PSYCHIATRIC TECHNICI
Individual
Licensed Psychiatric Technician2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4179
1679631766 ELPIDIO CEPEDA L.P.T.
Individual
Licensed Psychiatric Technician2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 788-2935
1952469090MR. RAYMOND WALTER IREY M.F.T.
Individual
Marriage & Family Therapist2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4700
1134287196 CHELSEA MARIN CHEZEM LPT
Individual
Licensed Psychiatric Technician2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4700
1306904230 SHARON LEE GONZALES
Individual
Licensed Psychiatric Technician2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4711
1164580072 DAVID MICHAEL GABRIEL II
Individual
Counselor2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4711
1821156209 JAMES FICK
Individual
Licensed Psychiatric Technician2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4711
1063570836MR. SEAN PATRICK MYERS LPT
Individual
Licensed Psychiatric Technician2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-4700
1487712097DR. MICHAEL HANFORD GERBER PH.D.
Individual
Psychologist2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 441-9250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689917510, enumerated in the NPI registry as an "individual" on March 28, 2013

The provider is located at 2178 Johnson Ave San Luis Obispo, Ca 93401 and the phone number is (805) 781-4700

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

This NPI record was last updated on March 28, 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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