Elise Blanton-Hubbard, MOT, OTR/L
Individual provider Active NPI Mental Health Occupational Therapist · Pleasant Hill, CA
NPI 1184166316 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1184166316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Occupational Therapist 225XM0800X
- License
- OT16845 (CA)
- Practice address
- 391 Taylor Blvd Ste 100
Pleasant Hill, CA 94523-2289 - Phone
- (925) 608-6550
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1656 | ID | MD | Occupational Therapist |
| OT16845 | CA | MD | Mental Health Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community Health Worker | 172V00000X | |||
| Occupational Therapist | 225X00000X | OT-1656 | ID | |
| Occupational Therapist | 225X00000X | OT16845 | CA | |
| Mental Health Occupational Therapist | 225XM0800X | OT16845 | CA | Yes |
Addresses
Primary practice location
391 Taylor Blvd Ste 100
Pleasant Hill, CA 94523-2289
Mailing address
1448 Josephine St Apt 2
Berkeley, CA 94703-1108
Phone (831) 277-8368
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All providers in Pleasant Hill, CA · Mental Health Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.