Individual provider Active NPI

Melissa Julian, PHD

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1144082678
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSB94027834 Issued in CA
Practice address
11850 Wilshire Blvd Ste 200a
Los Angeles, CA 90025-6629
Phone
(310) 869-4112
NPI assigned
Jan 30, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSB94027834 CA Primary

Addresses

Primary practice location

11850 Wilshire Blvd Ste 200a
Los Angeles, CA 90025-6629

Mailing address

1114 16TH St Apt 2
Santa Monica, CA 90403-5558
Phone (559) 301-7900

Other practice location 1

1990 S Bundy Dr Ste 320
Los Angeles, CA 90025-5249
Phone (310) 869-4112

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
PSB94027834CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Julian, PHD Psychological Corporation Current Accepting new patients

Locations

11850 Wilshire Blvd
Ste 200A
Los Angeles, CA 90025
Phone (310) 575-9332

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": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1144082678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 16TH ST APT 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035558",
            "telephone_number": "559-301-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 WILSHIRE BLVD STE 200A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256629",
            "telephone_number": "310-869-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 S Bundy Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900255249",
            "country_code": "US",
            "telephone_number": "310-869-4112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "MELISSA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94027834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.