Active NPI
Julie H Sutcliffe, PSYD
- Clinical Psychologist
- Palo Alto, CA
National Provider Identifier
1013338490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30579
- Practice address
- 401 Quarry Rd
Palo Alto, CA 94304-1419 - Phone
- (415) 676-7177
- NPI assigned
- Jan 2, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.009467 | IL | |
| Clinical Psychologist | 103TC0700X | PSY30579 | CA | Primary |
Addresses
Primary practice location
401 Quarry Rd
Palo Alto, CA 94304-1419
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
900 Washington St # 2B
Evanston, IL 60202-4329
Phone (415) 676-7177
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 |
|---|---|---|---|
| PSY30579 | CA | MD | Clinical Psychologist |
| 071.009467 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1013338490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 QUARRY RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041419",
"telephone_number": "415-676-7177"
}
],
"practiceLocations": [
{
"address_1": "900 Washington St # 2B",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602024329",
"country_code": "US",
"telephone_number": "415-676-7177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTCLIFFE",
"first_name": "JULIE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009467",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.