YULIA BROKKEN


Address: 3575 Caminito El Rincon Unit 214, San Diego, CA 92130-3522
Phone: 8583423118

YULIA BROKKEN (NPI# 1063838670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3575 CAMINITO EL RINCON UNIT 214
City SAN DIEGO
State CA
Zip Code 92130-3522

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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SAN DIEGO
Zip Code 92130

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Dataset Information

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.

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