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Phi Phu Chi

Licensed Psychiatric Technician β€’ Fresno, CA

Active NPI 1407599301 Individual Practitioner Male Practitioner
Practice location in NPPES

4411 E. Kings Canyon Rd
Fresno, CA 93702

Call 5594531008 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4411 E. Kings Canyon Rd

Fresno, CA 93702

Telephone 5594531008
Organization at the Same NPPES Address or Phone
Exodus Recovery, Inc. Facility NPI 1851787188

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 6 distinct additional practice-address records in Fresno, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fresno and California

81 active clinicians are listed under Licensed Psychiatric Technician with a practice address in Fresno, CA (2,324 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fresno

0% of these 81 clinicians have the CMS telehealth indicator.

0% of these 81 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-15
Licensed Psychiatric Technician Primary Specialty

NUCC Taxonomy Code: 167G00000X

License # reported to NPPES CA 40683

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

4411 E Cesar Chavez Blvd

Fresno, CA 937023604

Phone: 5594531008

3133b N Millbrook Ave

Fresno, CA 937031425

Phone: 5594531008

3141 N. Millbrook Ave.

Fresno, CA 93703

Phone: 5594531008

3520 E Shields Ave Ste 102

Fresno, CA 937266923

Phone: 5595381230

3147 N Millbrook Ave

Fresno, CA 937031425

Phone: 5594531008

3127 N Millbrook Ave

Fresno, CA 937031425

Phone: 5594531008

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Arlene Putnam

Nurse Practitioner - Family

NPI 1023314523
Sarabjeet Thind

Registered Nurse - Psychiatric/Mental Health

NPI 1023797198
Ifeoma Ubadike , NP

Registered Nurse - Psychiatric/Mental Health

NPI 1073267746

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location May 15, 2026

Registered at 4411 E. KINGS CANYON RD, FRESNO, CA 93702 (Tel: 5594531008)

πŸ“
Updated Business Mailing Address May 15, 2026

Registered at 4411 E. KINGS CANYON RD, FRESNO, CA 937023604 (Tel: 5594531008)

πŸ“
Updated Practice Location April 28, 2025

Registered at 4411 E CESAR CHAVEZ BLVD, FRESNO, CA 937023604 (Tel: 5594531008)

πŸ“
Updated Business Mailing Address April 28, 2025

Registered at 4411 E CESAR CHAVEZ BLVD, FRESNO, CA 937023604 (Tel: 5594531008)

βœ…
NPI Profile Active April 18, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 18, 2022

Registered at 4411 E KINGS CANYON RD, FRESNO, CA 937023604 (Tel: 5594531008)

πŸ“
Business Mailing Address (Initial Record) April 18, 2022

Registered at 4411 E KINGS CANYON RD, FRESNO, CA 937023604 (Tel: 5594531008)

πŸ‘€
Provider Name / Credentials (Initial Record) April 18, 2022

Recorded as PHI CHI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2022

Licensed Psychiatric Technician (license number reported to NPPES: CA 40683)

🟒
Initial NPI Registration & Enumeration April 18, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407599301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2022
Last Update: May 15, 2026
Sole Proprietor: Yes

Mailing Address

4411 E. Kings Canyon Rd

Fresno, CA 937023604

Phone: 5594531008

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.