Individual provider Active NPI

Julia Gorelik, PH.D.

  • School Psychologist
  • Seattle, WA
National Provider Identifier
1033790282
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
60667244 Issued in WA
Practice address
1842 McGilvra Blvd E
Seattle, WA 98112-3124
Phone
(206) 486-6759
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 60667244 WA Primary

Addresses

Primary practice location

1842 McGilvra Blvd E
Seattle, WA 98112-3124

Mailing address

1842 McGilvra Blvd E
Seattle, WA 98112-3124
Phone (206) 486-6759

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jrudingorelikphd@gmail.com

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
60667244WAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1033790282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 MCGILVRA BLVD E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123124",
            "telephone_number": "206-486-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 MCGILVRA BLVD E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123124",
            "telephone_number": "206-486-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORELIK",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WA",
            "license": "60667244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jrudingorelikphd@gmail.com",
            "affiliation": "N",
            "address_1": "1842 McGilvra Blvd E",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981123124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.