LORETTA BRUINSMA LPT NPI 1255719142

NPI Information

  • NPI: 1255719142
  • Provider Name: LORETTA BRUINSMA, LPT
  • Classification: Licensed Psychiatric Technician - 167G00000X
  • Entity Type: Individual
  • Address: 23701 E EAST FORK RD
    AZUSA, CA
    ZIP 91702
  • Phone: (626) 250-3300

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NPI Details

Loretta Bruinsma, LPT is a licensed psychiatric technician in Azusa, 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. Loretta Bruinsma, LPT NPI is 1255719142. 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:

23701 E EAST FORK RD
AZUSA, CA
ZIP 91702-477
Phone: (626) 250-3300

The enumeration date for this NPI number is 5/11/2015 and was last updated on 5/17/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1167G00000XLicensed Psychiatric TechnicianPT25048CALIFORNIAYes

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: 3/30/2025

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