Active NPI
Mary R Hulnick, PSYCHOLOGIST
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1295944718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PU 7219
- Practice address
- 2107 Wilshire Blvd
Santa Monica, CA 90403-5735 - Phone
- (310) 829-7402
- Fax
- (310) 453-5641
- NPI assigned
- May 21, 2007
- 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 | PU 7219 | CA | Primary |
Addresses
Primary practice location
2107 Wilshire Blvd
Santa Monica, CA 90403-5735
Mailing address
21130 Bellini Dr
Topanga, CA 90290-4408
Phone (818) 999-1589
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 |
|---|---|---|---|
| PU 7219 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295944718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21130 BELLINI DR",
"city": "TOPANGA",
"state": "CA",
"postal_code": "902904408",
"telephone_number": "818-999-1589",
"fax_number": "818-999-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 WILSHIRE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035735",
"telephone_number": "310-829-7402",
"fax_number": "310-453-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULNICK",
"first_name": "MARY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PU 7219",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.