Vanessa Dougherty, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT17769 Issued in CA

Practice address

2845 Mesa Verde Dr E Ste 9
Costa Mesa, CA 92626-4858

Phone

(714) 697-1907

Fax

(714) 464-4555

NPI assigned

Oct 4, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Huntington Beach, CA
  • NPI 1518405166
  NPD (past)

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1851866941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18685 MAIN ST STE 101-459",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481723",
            "telephone_number": "714-697-1907",
            "fax_number": "714-464-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 MESA VERDE DR E STE 9",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264858",
            "telephone_number": "714-697-1907",
            "fax_number": "714-464-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "VANESSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT17769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachit Doshi, M.D.
• Malaysia Doss
• Zvezdana Dostanic - Rakic, M.D
• Stephen Doub, DPT
• Erin Dougherty, MPH, RD
• Douglas W Lim a Professional Dental Corp
• Dr Ali Mohebbi OD Inc
• Dr Anthony Francisco PHD Inc
• Dr Group, Inc.
• Dr. Alissa Wald and Associates Optometry, Inc.

• Occupational Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.