Stacey Joanne Cadden

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5177 Issued in CA

Practice address

3816 Galena PL
Perris, CA 92570-7290

Phone

(951) 442-0193

Fax

(951) 443-4586

NPI assigned

Aug 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Stacey Joanne Cadden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1497200356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26100 NEWPORT RD",
            "address_2": "SUITE A 12 #43",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847002",
            "telephone_number": "951-442-0193",
            "fax_number": "951-443-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 GALENA PL",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925707290",
            "telephone_number": "951-442-0193",
            "fax_number": "951-443-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADDEN",
        "first_name": "STACEY",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "CADDEN",
            "middle_name": "JOANNE",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Perris, CA
• Providers in Perris, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.