SHELLEY SLACK (NPI# 1669604435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669604435 |
| Entity Type | Individual |
| Full Name | SHELLEY SLACK |
| Practice Address |
55475 Santa Fe Trl Yucca Valley CA 92284-3117 |
| Practice Telephone | 7603653022 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2015-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 3032 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
55475 SANTA FE TRL |
| City | YUCCA VALLEY |
| State | CA |
| Zip Code | 92284-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033205885 | Sarah Rushbrook | Psychologist | 55475 Santa Fe Trl, Yucca Valley, CA 92284-3117 | 2006-10-05 |
| 1457740375 | Tiffiny Schuler | Counselor | 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 | 2015-01-15 |
| 1750781712 | Roy Doten | Counselor | 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 | 2014-08-27 |
| 1861891103 | Deborah Leader | Counselor | 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 | 2014-08-21 |
| 1083022016 | Bruce Baughman | Licensed Psychiatric Technician | 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 | 2014-07-22 |
| 1013325059 | Stephanie Cantu | Counselor | 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 | 2014-07-22 |
| 1588071518 | Karen Lesko | Counselor | 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 | 2014-07-22 |
| 1184049249 | Caroline Lechman | Licensed Vocational Nurse | 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 | 2014-02-26 |
| 1154755890 | Telecare Corp | Community/Behavioral Health | 55475 Santa Fe Trl, Suite 100, Yucca Valley, CA 92284-3117 | 2013-08-29 |
| 1942634670 | Telecare Corp | Community/Behavioral Health | 55475 Santa Fe Trl, Suite 100, Yucca Valley, CA 92284-3117 | 2013-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646746 | Dawn Irene Blue | Registered Nurse | 55887 Yucca Valley Trail, Yucca Valley, CA 92284 | 2019-09-04 |
| 1659838415 | Lifeline Marketing Group, LLC Kenneth M Folwell Sole Mbr | Genetic Counselor, MS | 57675 Twentynine Palms Hwy, Suite 102, Yucca Valley, CA 92284 | 2019-02-27 |
| 1790240026 | Rosenda Marie Quintero | Case Manager/Care Coordinator | 7281 Dumosa Avneue, Ste 4, Yucca Valley, CA 92284 | 2019-01-31 |
| 1740790617 | Robert Farrer | Pharmacist | 57701 Twentynine Palms Highway, Yucca Valley, CA 92284 | 2017-10-05 |
| 1881128981 | Louis James Medina | Case Manager/Care Coordinator | 58471 Twentynine Palms Hwy #102, Yucca Valley, CA 92284 | 2017-04-14 |
| 1003369620 | Hi -desert Memorial Health Care District | Clinic/Center | 57019 Yucca Trail Ste C, Yucca Valley, CA 92284 | 2016-08-01 |
| 1346639002 | Virginia Susan Mccann | Marriage & Family Therapist | 58945 Business Cernter Drive, Suite D, Yucca Valley, CA 92284 | 2015-01-20 |
| 1578964375 | Desert Oasis Healthcare | Clinic/Center | 57-840 29 Palms Hwy, Yucca Valley, CA 92284 | 2014-09-11 |
| 1306245113 | Katie Z Topper | Nurse Practitioner | 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 | 2014-08-18 |
| 1215347307 | Sandip Patel | Pharmacist | 57701 Twentynine Palms Hwy, Yucca Valley, CA 92284 | 2014-04-29 |
| Find all providers in zip 92284 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508944075 | San Bernardino County Public Health Dept. | Occupational Therapy Assistant | 3380 Avalon, Yucca Mesa Mtu, Yucca Valley, CA 92286-0042 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089304 | Buenaventura Peralta | Occupational Therapy Assistant | 139 N Walnut Ave, Placentia, CA 92870-5643 | 2020-10-07 |
| 1578170619 | Noe Ramirez Lopez | Occupational Therapy Assistant | 650 Marvin Way, Dixon, CA 95620-3342 | 2020-09-23 |
| 1790391415 | Michael Vidal | Occupational Therapy Assistant | 2126 Oregon Ave, Long Beach, CA 90806-4141 | 2020-09-17 |
| 1386259273 | Rachel Le | Occupational Therapy Assistant | 11909 Elmcroft Ave, Norwalk, CA 90650-7730 | 2020-09-09 |
| 1790399913 | Alexander Toussaint | Occupational Therapy Assistant | 3731 E Harding St, Long Beach, CA 90805-3934 | 2020-09-04 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1083226419 | Olivia Clark | Occupational Therapy Assistant | 2905 Bearcreek Ct, Fullerton, CA 92835-3143 | 2020-08-18 |
| 1174133961 | Pacasie Kamikazi | Occupational Therapy Assistant | 8501 Bruceville Rd, Elk Grove, CA 95758-7258 | 2020-08-06 |
| 1093323297 | Catherine Hsi | Occupational Therapy Assistant | 1241 Ashby Ave, Berkeley, CA 94702-2401 | 2020-07-14 |
| 1790302453 | Elnura Kim | Occupational Therapy Assistant | 13665 Newcastle Ct, Fontana, CA 92335-0588 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
| City | YUCCA VALLEY |
| Zip Code | 92284 |
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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.