Justine Wynn

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

27876 Issued in CA

Practice address

530 W Ojai Ave
#204
Ojai, CA 93023-2462

Phone

(805) 640-5148

NPI assigned

Jul 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Justine Wynn PHD

  • Community/Behavioral Health Agency
  • Ojai, CA
  • NPI 1336505726
  Medicare reassignment Authorized official
• Monica M Lowe and Associates, LLC

  • Metabolic Nutrition Registered Dietitian
  • Ojai, CA
  • NPI 1245712272
  NPD (past)

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1174076988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W OJAI AVE",
            "address_2": "#101-439",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233277",
            "telephone_number": "805-640-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W OJAI AVE",
            "address_2": "#204",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232462",
            "telephone_number": "805-640-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "JUSTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "27876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle L Wilson, DO
• Cynthia Stark Winfrey, MA, MFC48335
• Gregory Thomas Wood, M.F.T.
• Matthew James Woodcock
• Charles Edward Wray, D.C.
• Zaccario Tramontana, PHD, a Psychology Corporation
• Emily Louise Zacher, MA, BCBA

• Community/Behavioral Health Agency in Ojai, CA
• Providers in Ojai, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.