Caitlyn Elizabeth Vandamm, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13624 Issued in MA

Practice address

15 Bardwell St Apt 2
Jamaica Plain, MA 02130-3995

Phone

(617) 819-8668

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1194243485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 CENTRE ST STE 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302511",
            "telephone_number": "617-819-8668",
            "fax_number": "617-812-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BARDWELL ST APT 2",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303995",
            "telephone_number": "617-819-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAMM",
        "first_name": "CAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021523",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Valdez
• Anne Mary Valeri, GNP-BC
• Crispin Villacorta Valiente Jr., M.D.
• Molly Storer Van Dams, OTR/L
• Mindy Vanberkel, RD, LDN, CNSC, MS
• Eva Vandegrift, MSCP
• Perri Vanderclock, MS, OTR/L
• Lynda Vanderhoven, LIC ACUPUNCTURIST
• Valentina Velez, BAS
• Emily Velker, LMFT

• Occupational Therapist in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.