Active NPI
Julian Menald
- Mental Health Counselor
- Long Beach, CA
National Provider Identifier
1073974937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PT22705
- Practice address
- 1720 Termino Ave
Long Beach, CA 90804-2104 - Phone
- (855) 245-2443
- NPI assigned
- Mar 18, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PT22705 | CA | Primary |
Addresses
Primary practice location
1720 Termino Ave
Long Beach, CA 90804-2104
Mailing address
4449 Walnut Ave
Long Beach, CA 90807-2524
Phone (562) 685-1971
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT22705 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1073974937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4449 WALNUT AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072524",
"telephone_number": "562-685-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 TERMINO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042104",
"telephone_number": "855-245-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENALD",
"first_name": "JULIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-18",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PT22705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.