Anthony Desanto-Kelly, LICENSE PYSCH TECH 3
NPI 1417047069ActiveIndividual· Licensed Psychiatric Technician· Long Beach, CA
Licensed Psychiatric Technician (LICENSE PYSCH TECH 3) in Long Beach, California, licensed in CA, with an NPI issued in October 2006.
Overview
| NPI | 1417047069 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICENSE PYSCH TECH 3 |
| Sole proprietor | Yes |
| NPI issued | Oct 13, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | PT24452 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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