Individual provider Active NPI

Kelcy Parrish, OTR/L

  • Occupational Therapist
  • Santa Clarita, CA
National Provider Identifier
1184292500
Registry record updated Jun 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19760 Issued in CA
Practice address
26639 Valley Center Dr
Santa Clarita, CA 91351-2357
Phone
(661) 480-6443
NPI assigned
Jun 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT19760 CA Primary

Addresses

Primary practice location

26639 Valley Center Dr
Santa Clarita, CA 91351-2357

Mailing address

36390 Anthony Rd
Agua Dulce, CA 91390-4543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723003061 CA Practitioner - Occupational Therapist in Private Practice 4183027485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT19760CAMDOccupational Therapist
19760CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Small Talk Therapy, Inc. CurrentSince Aug 1, 2021 Accepting new patients

Locations

43845 10th St W
Ste 1A
Lancaster, CA 93534
Phone (661) 480-6443

26639 Valley Center Dr
Ste 101
Santa Clarita, CA 91351
Phone (661) 254-1842

26639 Valley Center Dr
Santa Clarita, CA 91351
Phone (661) 254-1842

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1184292500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36390 ANTHONY RD",
            "city": "AGUA DULCE",
            "state": "CA",
            "postal_code": "913904543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26639 VALLEY CENTER DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512357",
            "telephone_number": "661-480-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "KELCY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT19760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.