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
- 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
- Code Navigator
Location Map
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. | |||||||||
| 1 | 6 | 8 | 9 | 9 | 1 | 7 | 5 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 18 | 1 | 14 | 5 | 2 | |
| 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 |
|---|---|---|---|
| 1114919263 | DR. JEFFREY BRUCE ELLIOTT PSYD Individual | Psychologist (Clinical) | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-5525 |
| 1831125996 | DR. 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 |
| 1245303783 | MR. CHRISTOPHER WILLIAM CUSICK B.S. Individual | Counselor | 2178 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 Therapist | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 226-3208 |
| 1790843803 | MS. JANET CUSHING AMANZIO RN Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4732 |
| 1750449765 | MR. GERALD EUGENE CLARE LCSW Individual | Social Worker (Clinical) | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4733 |
| 1295893444 | MS. THERESA CECILIA DESMOND R.N. Individual | Registered Nurse | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4700 |
| 1235297136 | WILAIM DAVID BOORMAN PSYCHIATRIC TECHNICI Individual | Licensed Psychiatric Technician | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 237-3170 |
| 1073671285 | LINDA DARLENE WINBORNE RN Individual | Registered Nurse | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4700 |
| 1518025725 | MRS. CAROLYN NMN SHIVELY Individual | Licensed Psychiatric Technician | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4738 |
| 1083772933 | MR. JASON MICHAEL HOOSON PSYCHIATRIC TECHNICI Individual | Licensed Psychiatric Technician | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4179 |
| 1679631766 | ELPIDIO CEPEDA L.P.T. Individual | Licensed Psychiatric Technician | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 788-2935 |
| 1952469090 | MR. RAYMOND WALTER IREY M.F.T. Individual | Marriage & Family Therapist | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4700 |
| 1134287196 | CHELSEA MARIN CHEZEM LPT Individual | Licensed Psychiatric Technician | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4700 |
| 1306904230 | SHARON LEE GONZALES Individual | Licensed Psychiatric Technician | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4711 |
| 1164580072 | DAVID MICHAEL GABRIEL II Individual | Counselor | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4711 |
| 1821156209 | JAMES FICK Individual | Licensed Psychiatric Technician | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4711 |
| 1063570836 | MR. SEAN PATRICK MYERS LPT Individual | Licensed Psychiatric Technician | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 (805) 781-4700 |
| 1487712097 | DR. MICHAEL HANFORD GERBER PH.D. Individual | Psychologist | 2178 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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