Individual provider Active NPI

Julie A Hewett, PHD.

  • Clinical Psychologist
  • Santa Monica, CA
National Provider Identifier
1174807044
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
27993 Issued in CA
Practice address
3201 Wilshire Blvd Ste 320
Santa Monica, CA 90403-2335
Phone
(424) 354-0525
NPI assigned
Oct 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY27993 CA
Clinical Psychologist 103TC0700X 27993 CA Primary

Addresses

Primary practice location

3201 Wilshire Blvd Ste 320
Santa Monica, CA 90403-2335

Mailing address

3201 Wilshire Blvd Ste 320
Santa Monica, CA 90403-2335
Phone (424) 354-0525

Other practice location 1

10780 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-7634
Phone (424) 320-4846 ext. 4846

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
PSY27993CAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1174807044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 320",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032335",
            "telephone_number": "424-354-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 320",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032335",
            "telephone_number": "424-354-0525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10780 Santa Monica Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900257634",
            "country_code": "US",
            "telephone_number": "424-320-4846 x4846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWETT",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY27993",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.