YULIA BROKKEN (NPI# 1063838670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063838670 |
Entity Type | Individual |
Full Name | YULIA BROKKEN |
Practice Address |
3575 Caminito El Rincon Unit 214 San Diego CA 92130-3522 |
Practice Telephone | 8583423118 |
Mailing Telephone | 1858342311 |
Enumeration Date | 2014-03-07 |
Last Update Date | 2014-03-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3575 CAMINITO EL RINCON UNIT 214 |
City | SAN DIEGO |
State | CA |
Zip Code | 92130-3522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
Find all providers in zip 92130 |
Taxonomy Code | 222Q00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Developmental Therapist |
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013463363 | Waheeda Waheed | Developmental Therapist | 501 W Broadway, Suit 800, San Diego, CA 92101 | 2016-08-28 |
1629427935 | Keelan Tobia | Developmental Therapist | 501 W Broadway, Suite 800, San Diego, CA 92101 | 2016-06-07 |
1730595570 | Charity Fluegge | Developmental Therapist | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128 | 2014-07-01 |
1295145647 | Brittany Shaw | Developmental Therapist | 4119 Highland Ave, Unit 6, San Diego, CA 92105-1764 | 2014-05-06 |
1922437292 | Bernadette Moriarty | Developmental Therapist | 2727 De Anza Rd, Spc. N9, San Diego, CA 92109-6808 | 2013-11-06 |
1669666384 | Wannaporn Vudhichamnong | Developmental Therapist | 7510 Charmant Dr Apt 727, San Diego, CA 92122-5027 | 2007-09-06 |
1366990350 | Daisy Resendiz | Developmental Therapist | 501 W Broadway, Suite 800, San Diego, CA 92101-3536 | 2016-09-19 |
1750839932 | Chelsea Leigh Tonti | Developmental Therapist | 501 W Broadway, Suite 800, San Diego, CA 92101-3536 | 2016-09-15 |
1568918217 | Caitlyn Olszewski | Developmental Therapist | 501 West Broadway, Suite 800, San Diego, CA 92101 | 2016-08-31 |
1912452467 | Jacqueline Hayter | Developmental Therapist | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2016-08-24 |
Find all providers in SAN DIEGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.