Sophia Desjardins

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OA3187 Issued in ME

Practice address

234 Northeast Rd
Standish, ME 04084-6495

Phone

(800) 743-6802

NPI assigned

Dec 27, 2016

Last updated

Dec 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1497290647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 PREBLE ST",
            "address_2": "APT. 1S",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041071032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 NORTHEAST RD",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846495",
            "telephone_number": "800-743-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESJARDINS",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ME",
            "license": "OA3187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Cooper, LCSW
• Christine Cutler
• Christiana M Dagher, DDS
• Alise Rebecca Demaris
• Innes Demers, LCPC
• Donna Pringle
• Jennifer L Drenski, PT
• Eleanor Murphy Dudek, CNP, PMHNP, ARNP
• Family Dental Health LLP
• Sarah Elisabeth Fogg, RDH

• Occupational Therapy Assistant in Standish, ME
• Providers in Standish, ME by specialty
• Occupational Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.