IndividualActive
Jerry Tait
NPI 1568584548 · Licensed Psychiatric Technician · Stockton, CA
Jerry Tait is a Licensed Psychiatric Technician provider in Stockton, CA (NPI 1568584548).
Provider details
- NPI number
- 1568584548
- Entity type
- Individual
- Primary specialty
- Licensed Psychiatric TechnicianNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PT14939 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-8660
Street-level locationGet directions
Mailing address
1112 Enview Ct
Stockton, CA 95210-2161
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Tait's NPI number?
- Jerry Tait's National Provider Identifier (NPI) is 1568584548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Tait's specialty?
- Jerry Tait is listed in the NPPES registry with a primary specialty of Licensed Psychiatric Technician (Nursing Service Providers).
- Where is Jerry Tait located?
- Jerry Tait's practice location on file with NPPES is 1212 N California St, Stockton, CA 95202-1552.
- What is Jerry Tait's phone number?
- The practice phone number listed in the NPPES registry for Jerry Tait is (209) 468-8660.
- Is Jerry Tait's NPI active?
- Yes — Jerry Tait's NPI (1568584548) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.