NICOLEE ELANE BRORSEN MOT OTR/L NPI 1760648190

NPI Information

NPI: 1760648190
Provider Name: NICOLEE ELANE BRORSEN, MOT, OTR/L
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3075 ADELINE ST
SUITE 120
BERKELEY, CA
ZIP 94703
Phone: (510) 848-1112
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Nicolee Elane Brorsen, MOT, OTR/L is a mental health counselor in Berkeley, CA. Nicolee Elane Brorsen, MOT, OTR/L NPI is 1760648190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3075 ADELINE ST
SUITE 120
BERKELEY, CA
ZIP 94703-576
Phone: (510) 848-1112
Fax: (510) 848-4445

The enumeration date for this NPI number is 8/5/2008 and was last updated on 8/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XP0200X	Occupational Therapist	Pediatrics	OT 1104	CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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