HEAL THE BRAIN WITH JANE (NPI# 1942835418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942835418 |
| Entity Type | Organization |
| Organization Name | HEAL THE BRAIN WITH JANE |
| Practice Address |
47 Santa Rosa St San Luis Obispo CA 93405-1811 |
| Mailing Address |
475 Poa Pl San Luis Obispo CA 93405-4768 |
| Practice Telephone | 9494338457 |
| Mailing Telephone | 9494338457 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | JANE DESMOND CONNELY (FOUNDER/ OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 9494338457 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
47 SANTA ROSA ST |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174575567 | Jonathan Stanley Hamrick | Family Medicine | 47 Santa Rosa St, 47 Santa Rosa, San Luis Obispo, CA 93405-5816 | 2006-05-16 |
| 1972852770 | Jane Desmond Connely | Occupational Therapist | 47 Santa Rosa St, San Luis Obispo, CA 93405-1811 | 2012-09-07 |
| 1417280082 | James Michael Harrison | Family Medicine | 47 Santa Rosa St, San Luis Obispo, CA 93405-5816 | 2009-09-14 |
| 1669617015 | Lisa Liane Dimodica | Physician Assistant | 47 Santa Rosa St, San Luis Obispo, CA 93405-5816 | 2008-12-12 |
| 1962535385 | Tyler P Campbell | Family Medicine | 47 Santa Rosa St, San Luis Obispo, CA 93405-5816 | 2007-03-14 |
| 1902939408 | Frank Mazzone | Family Medicine | 47 Santa Rosa St, San Luis Obispo, CA 93405-5816 | 2007-03-13 |
| 1235262734 | Family & Industrial Medical Center, Inc. | Family Medicine | 47 Santa Rosa St, San Luis Obispo, CA 93405-5816 | 2007-03-13 |
| 1134252653 | David L Gingrich | Physician Assistant | 47 Santa Rosa St, San Luis Obispo, CA 93405-5816 | 2007-03-13 |
| 1134171390 | Gary Michael Raymond | Nurse Practitioner | 47 Santa Rosa St, 47 Santa Rosa, San Luis Obispo, CA 93405-5816 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429416 | San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Occupational Therapist | 862 Meinecke Ave Ste 101, San Luis Obispo, CA 93405-3702 | 2020-08-25 |
| 1497244685 | Cathryn M Gibson | Occupational Therapist | 1241 Johnson Ave # 318, San Luis Obispo, CA 93401-3306 | 2018-05-03 |
| 1225586522 | Shakira Trizette Tietje | Occupational Therapist | 545 Princeton Pl, San Luis Obispo, CA 93405-1118 | 2016-09-14 |
| 1639432529 | Laura Cooper | Occupational Therapist | 187 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7081 | 2012-06-17 |
| 1659573855 | David Allen Jeffrey | Occupational Therapist | 1128 Iris St, San Luis Obispo, CA 93401-4118 | 2007-06-01 |
| 1407897606 | Leslyn Keith | Occupational Therapist | 1061 Murray Ave, San Luis Obispo, CA 93405-8807 | 2006-06-09 |
| 1922081116 | Madeleine Therese Arel | Occupational Therapist | 1130 Grove St, San Luis Obispo, CA 93401 | 2005-11-22 |
| 1801288485 | Emilia Nicole Friedberg | Occupational Therapist | 1061 Murray Ave, San Luis Obispo, CA 93405-8807 | 2015-02-19 |
| 1407119993 | Lisa Kathleen Moreno | Occupational Therapist | 187 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7081 | 2012-06-19 |
| 1699071761 | Jeff Scott Bruno | Occupational Therapist | 1075 Court St, Suite #202, San Luis Obispo, CA 93401-3234 | 2011-02-07 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
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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.