Provider Type Icon

WAHIDA PONCELET PT NPI 1396135901


NPI Information

NPI: 1396135901
Provider Name: WAHIDA PONCELET, PT
Classification: Licensed Psychiatric Technician - 167G00000X
Entity Type: Individual
Address:
2178 JOHNSON AVE
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 781-4700
Get Directions

Wahida Poncelet, PT is a licensed psychiatric technician in San Luis Obispo, 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. Wahida Poncelet, PT NPI is 1396135901. 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:

2178 JOHNSON AVE
SAN LUIS OBISPO, CA
ZIP 93401-535
Phone: (805) 781-4700

The enumeration date for this NPI number is 2/3/2015 and was last updated on 2/3/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1167G00000XLicensed Psychiatric Technician31669CALIFORNIAYes

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.