Individual provider Active NPI

Julia Lynn Kocal, PSY.D.

  • Clinical Psychologist
  • Valparaiso, IN
National Provider Identifier
1184818262
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042194A Issued in IN
Practice address
225 Wexford Rd
Valparaiso, IN 46385-8040
Phone
(219) 531-2877
Fax
(219) 531-2891
NPI assigned
Aug 31, 2007
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20042194A IN Primary

Addresses

Primary practice location

225 Wexford Rd
Valparaiso, IN 46385-8040

Mailing address

225 Wexford Rd
Valparaiso, IN 46385-8040
Phone (219) 531-2877

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Julia.Kocal@laportehosp.cernerdirect.com

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Four Seasons Medical Center, P.C. Past Accepting new patients
Health Psychology and Counseling Center of Northwest Indiana Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julia.kocal@laportehosp.cernerdirect.com

Organizations & group practices 2

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1184818262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WEXFORD RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858040",
            "telephone_number": "219-531-2877",
            "fax_number": "219-531-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WEXFORD RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858040",
            "telephone_number": "219-531-2877",
            "fax_number": "219-531-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCAL",
        "first_name": "JULIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042194A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Julia.Kocal@laportehosp.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "225 Wexford Rd",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463858040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.