Individual provider Active NPI

Julie Depalma

  • Licensed Psychiatric Technician
  • Calimesa, CA
National Provider Identifier
1023867199
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
A3950478 Issued in CA
Practice address
267 Tanglewood Dr
Calimesa, CA 92320-1169
Phone
(909) 855-2380
Fax
(909) 672-6503
NPI assigned
May 13, 2024
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X A3950478 CA Primary

Addresses

Primary practice location

267 Tanglewood Dr
Calimesa, CA 92320-1169

Mailing address

267 Tanglewood Dr
Calimesa, CA 92320-1169
Phone (909) 855-2380

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A3950478CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Julzz Careful Commit CurrentSince May 19, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1023867199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 TANGLEWOOD DR",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201169",
            "telephone_number": "909-855-2380",
            "fax_number": "909-672-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 TANGLEWOOD DR",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201169",
            "telephone_number": "909-855-2380",
            "fax_number": "909-672-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALMA",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "A3950478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calimesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.