Active NPI
Julie Anne Garrison, PSY.D.
- Psychologist
- South Lake Tahoe, CA
National Provider Identifier
1013119833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 22855
- Practice address
- 1021 Fremont Ave.
Tahoe Youth and Family Services
South Lake Tahoe, CA 96150 - Phone
- (775) 544-3359
- NPI assigned
- Jun 4, 2007
- Last updated
- Oct 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 22855 | CA | Primary |
Addresses
Primary practice location
1021 Fremont Ave.
Tahoe Youth and Family Services
South Lake Tahoe, CA 96150
Mailing address
1021 Fremont Ave.
Tahoe Youth and Family Services
South Lake Tahoe, CA 96150
Phone (775) 544-3359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 22855 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carol J Aalbers PHD LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Carson City, NV
- NPI 1538365390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1013119833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 FREMONT AVE.",
"address_2": "TAHOE YOUTH AND FAMILY SERVICES",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "96150",
"telephone_number": "775-544-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 FREMONT AVE.",
"address_2": "TAHOE YOUTH AND FAMILY SERVICES",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "96150",
"telephone_number": "775-544-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "JULIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 22855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.