JOSEPHINE MICKELSEN (NPI# 1720648298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720648298 |
| Entity Type | Individual |
| Full Name | JOSEPHINE MICKELSEN |
| Credential | OTR/L |
| Practice Address |
22961 Soledad Canyon Rd Santa Clarita CA 91350-2633 |
| Mailing Address |
43321 17th St W Lancaster CA 93534-5903 |
| Practice Telephone | 6612003677 |
| Practice Fax Number | 6613884496 |
| Mailing Telephone | 2143948721 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
20108 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
20108 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
20108 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
22961 SOLEDAD CANYON RD |
| City | SANTA CLARITA |
| State | CA |
| Zip Code | 91350-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721713 | Adelaida Sanchez | Technician | 26144 Gravett Pl, Santa Clarita, CA 91350 | 2019-10-11 |
| 1164081873 | Brenda Yanez | Case Manager/Care Coordinator | 21545 Centre Ponite Pkwy, Santa Clarita, CA 91350 | 2019-06-07 |
| 1689149643 | Candace Lenore Hernandez | Marriage & Family Therapist | 28100 Bouquet Canyon Road Suite 218, Santa Clarita, CA 91350 | 2018-10-05 |
| 1508380817 | Melanie Rivas | Case Manager/Care Coordinator | 21545 Centre Pointe Parkway, Santa Clarita, CA 91350 | 2017-07-28 |
| 1124550850 | Action Family Counseling Bakersfield Rtc | Psychiatric Residential Treatment Facility | 26393 Bouquet Canyon Rd # C-134, Santa Clarita, CA 91350 | 2017-03-31 |
| 1346772381 | Action Family Counseling The Ranch | Substance Abuse Rehabilitation Facility | 26393 Bouquet Canyon Rd, C-134, Santa Clarita, CA 91350 | 2017-03-29 |
| 1124566492 | American Health Services | Case Management | 26460 Summit Circle, Santa Clarita, CA 91350 | 2017-02-07 |
| 1780058313 | Ariana Gomez | Marriage & Family Therapist | 21545 Centre Pointe Pkw, Santa Clarita, CA 91350 | 2015-11-19 |
| 1114306149 | Aaron Manfre | Marriage & Family Therapist | 21545 Centre Pointe Pwky, Santa Clarita, CA 91350 | 2015-05-22 |
| 1962811042 | Sam Bekhit | Pharmacist | 67471 Carl Boyer Drive, Canyon Country, CA 91350 | 2014-08-04 |
| Find all providers in zip 91350 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568559 | Mary Jean Allan | Occupational Therapist | 1070 Crestline Cir, El Dorado Hills, CA 95762-7223 | 2020-11-05 |
| 1154957280 | Jennifer Marie Macintire | Occupational Therapist | 7000 East Ave # B663l723, Livermore, CA 94550-9698 | 2020-03-20 |
| 1699324988 | Gabriela Garcia | Occupational Therapist | 15311 Gundry Ave Unit 11, Paramount, CA 90723-3987 | 2019-09-09 |
| 1376109108 | Bryan Kang | Occupational Therapist | 2411 Vanderbilt Ln # B, Redondo Beach, CA 90278-3213 | 2019-05-16 |
| 1104383074 | Hand Rehab Pros Antelope Valley | Occupational Therapist | 1037 E Palmdale Blvd Ste 201, Palmdale, CA 93550-4745 | 2019-02-26 |
| 1154886513 | Christine Clermont | Occupational Therapist | 1025 Service Pl, Vista, CA 92084-7200 | 2019-02-09 |
| 1831662287 | Arshia Mohamadi | Occupational Therapist | 2211 W Magnolia Blvd Ste 295, Burbank, CA 91506-1753 | 2019-01-09 |
| 1609354752 | Leigha Holtzhouser | Occupational Therapist | 15525 Pomerado Rd Ste C8, Poway, CA 92064-2426 | 2018-07-31 |
| 1669978292 | Brian David Van Der Wyk | Occupational Therapist | 9819 Nadine St, Temple City, CA 91780-2621 | 2018-04-03 |
| 1972017846 | Alexis Nowak | Occupational Therapist | 2101 E 4th St Ste 170b, Santa Ana, CA 92705-3886 | 2017-11-29 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CLARITA |
| Zip Code | 91350 |
Please comment or provide details below to improve the information on JOSEPHINE MICKELSEN.
| 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.