Active NPI
Julie A Weaver, LMFT
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1255944179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 120720
- Practice address
- 5053 La Mart Dr Ste 105
Riverside, CA 92507-5993 - Phone
- (951) 858-6499
- NPI assigned
- Aug 29, 2020
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 120720 | CA | Primary |
Addresses
Primary practice location
5053 La Mart Dr Ste 105
Riverside, CA 92507-5993
Mailing address
17130 Van Buren Blvd # 52
Riverside, CA 92504-5905
Phone (951) 858-6499
Other names 1
- Ms. Julie A Hammond
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120720 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598659200000",
"number": "1255944179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17130 VAN BUREN BLVD # 52",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925045905",
"telephone_number": "951-858-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5053 LA MART DR STE 105",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075993",
"telephone_number": "951-858-6499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JULIE",
"middle_name": "A",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-29",
"last_updated": "2020-08-29",
"certification_date": "2020-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "120720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "HAMMOND",
"middle_name": "A",
"prefix": "MS.",
"credential": "AMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.