Individual provider Active NPI

Julie B Lalor, PH.D.

  • Psychologist
  • Santee, CA
National Provider Identifier
1225047475
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 19986 Issued in CA
Practice address
8772 Cuyamaca St
Suite 104
Santee, CA 92071-4218
Phone
(619) 600-7658
Fax
(619) 448-8586
NPI assigned
Aug 5, 2006
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 19986 CA Primary

Addresses

Primary practice location

8772 Cuyamaca St
Suite 104
Santee, CA 92071-4218

Mailing address

8772 Cuyamaca St
Suite 104
Santee, CA 92071-4218
Phone (619) 600-7658

Other identifiers 1

IdentifierTypeStateIssuer
CP 19986MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070316000315 CA Practitioner - Clinical Psychologist 8820191554 Practice locations: San Diego, CA; Santee, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8772 Cuyamaca St
Suite 104
Santee, CA 92071-4218
Phone (619) 258-6397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 19986CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1225047475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8772 CUYAMACA ST",
            "address_2": "SUITE 104",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714218",
            "telephone_number": "619-600-7658",
            "fax_number": "619-448-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8772 CUYAMACA ST",
            "address_2": "SUITE 104",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714218",
            "telephone_number": "619-600-7658",
            "fax_number": "619-448-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALOR",
        "first_name": "JULIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 19986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CP 19986",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.