Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710675822 Individual Practitioner Male Practitioner

Michael Paul Anthony Smith

Licensed Psychiatric Technician • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Michael Smith is a registered healthcare professional specializing in Licensed Psychiatric Technician in Fresno, CA. Practice services are available at 3115 N MILLBROOK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3115 N Millbrook Ave

Fresno, CA 937031425

Telephone 5596002382
Associated Practice Facility / Clinic
🏢 Heritage Adhc Facility NPI 1508924135

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Psychiatric Technician in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
85 Specialists

Practicing in Fresno, CA (2427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-28
Licensed Psychiatric Technician Primary Specialty

NUCC Taxonomy Code: 167G00000X

State License CA PT40172

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Gabrielle Gatewood

Marriage & Family Therapist

NPI 1003281510
Jaime Herrera

Day Training/Habilitation Specialist

NPI 1003509779
Sarah Castro

Licensed Vocational Nurse

NPI 1003768698
Ismael Talavera

Licensed Psychiatric Technician

NPI 1013295427
Yer Vue

Social Worker

NPI 1013782838
Maria Rodriguez

Day Training/Habilitation Specialist

NPI 1013895770

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 28, 2025

Registered at 3115 N MILLBROOK AVE, FRESNO, CA 937031425 (Tel: 5596002382)

📍
Updated Practice Location September 19, 2024

Registered at 4411 E CESAR CHAVEZ BLVD # 319, FRESNO, CA 937023604 (Tel: 5596002382)

NPI Profile Active April 26, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2023

Registered at 4411 E KINGS CANYON RD # 319, FRESNO, CA 937023604 (Tel: 5596002382)

📍
Updated Business Mailing Address April 26, 2023

Registered at 3433 W SHAW AVE STE 103, FRESNO, CA 937113229 (Tel: 5595584051)

👤
Provider Name / Credentials Updated April 26, 2023

Recorded as MICHAEL SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2023

Licensed Psychiatric Technician (License #PT40172 in CA)

🟢
Initial NPI Registration & Enumeration April 26, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710675822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2023
Last Update: October 28, 2025
Sole Proprietor: No

Mailing Address

3433 W Shaw Ave Ste 103

Fresno, CA 937113229

Phone: 5595584051

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.