Julien J Guillaumot, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1683 Issued in OR

Practice address

408 SW Monroe Ave Ste M210D
Corvallis, OR 97333-7228

Phone

(541) 257-5533

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palm Springs Neuropsychology

  • Clinical Neuropsychologist
  • Palm Springs, CA
  • NPI 1831733195
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1124079066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NW HARRISON BLVD",
            "address_2": "STE B-20",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306277",
            "telephone_number": "541-257-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 SW MONROE AVE STE M210D",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973337228",
            "telephone_number": "541-257-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLAUMOT",
        "first_name": "JULIEN",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278211",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie D Guerena
• Tyler Murphy Guerra Powers
• Natalia Guerra-Hughes, IMF111237
• Teresa Guerra
• Guiding Lighthouse Therapy, LLC
• Laetitia Marie-Emmanuelle Guillet, LMT
• Nancy Guirguis
• James W. Gulick, MD
• Nathaniel William Gump, PH.D.
• Taylor Ann Gunderson

• Psychologist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.