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DAVINESHA MARIE SALLY NPI 1962044206


NPI Information

NPI: 1962044206
Provider Name: DAVINESHA MARIE SALLY
Classification: Licensed Psychiatric Technician - 167G00000X
Entity Type: Individual
Address:
100 W WALNUT ST STE 375
PASADENA, CA
ZIP 91124
Phone: (626) 395-7100
Get Directions

Davinesha Marie Sally is a licensed psychiatric technician in Pasadena, CA. The provider is 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. Davinesha Marie Sally NPI is 1962044206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 W WALNUT ST STE 375
PASADENA, CA
ZIP 91124-674
Phone: (626) 395-7100

The enumeration date for this NPI number is 10/8/2019 and was last updated on 1/11/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225400000XRehabilitation Practitioner41383CALIFORNIANo
2167G00000XLicensed Psychiatric Technician41383CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.