Active NPI
Julia A Myers, PSY. D.
- Clinical Psychologist
- Del Mar, CA
National Provider Identifier
1174840086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 23354
- Practice address
- 240 9TH St
Del Mar, CA 92014-2717 - Phone
- (858) 414-1079
- NPI assigned
- May 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 23354 | CA | Primary |
Addresses
Primary practice location
240 9TH St
Del Mar, CA 92014-2717
Mailing address
2907 Shelter Island Dr
Ste 105; #303
San Diego, CA 92106-2743
Phone (858) 414-1079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 23354 | CA | MD | Clinical Psychologist |
| 23354 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1174840086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 SHELTER ISLAND DR",
"address_2": "STE 105; #303",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921062743",
"telephone_number": "858-414-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 9TH ST",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920142717",
"telephone_number": "858-414-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "JULIA",
"middle_name": "A",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-01",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 23354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.