Bonnie Colleen McClintock, B.S., OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2693 Issued in NM

Practice address

2701 Rincon CT
Santa Fe, NM 87505-5271

Phone

(505) 603-8224

NPI assigned

Nov 3, 2009

Last updated

Aug 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1679800254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 RINCON CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055271",
            "telephone_number": "505-603-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 RINCON CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055271",
            "telephone_number": "505-603-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "BONNIE",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "B.S., OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2693",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Moore McCandlish, PH.D.
• Laura M McCann, LD
• Charles Bernard McCanna, M.D.
• Thomas Michael McCauley, LMSW
• Andrea J McClendon, RDH
• Jimmie McClure, DC
• Sabine McCluskey
• Robert Alexander McCormick, MD
• Stephanie Lynn McCreary
• Patricia E McCulloch, PA-C

• Occupational Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.