Active NPI
Jude James McElroy, M.D., PH.D.
- Psychiatry Physician
- Culver City, CA
National Provider Identifier
1356768436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A139436
- Practice address
- 9808 Venice Blvd
Suite 505
Culver City, CA 90232-2732 - Phone
- (310) 825-1752
- NPI assigned
- Mar 26, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A139436 | CA | Primary |
Addresses
Primary practice location
9808 Venice Blvd
Suite 505
Culver City, CA 90232-2732
Mailing address
9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Other practice location 1
4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 246-5023
Other practice location 2
265 S Anita Dr Ste 102-104
Orange, CA 92868-3355
Phone (714) 410-3500
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
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139436 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exodus Recovery, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Orange, CA
- NPI 1326641671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1356768436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9808 VENICE BLVD STE 700",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902326824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9808 VENICE BLVD",
"address_2": "SUITE 505",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322732",
"telephone_number": "310-825-1752"
}
],
"practiceLocations": [
{
"address_1": "4411 E Kings Canyon Rd",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937023604",
"country_code": "US",
"telephone_number": "559-246-5023",
"fax_number": "559-512-8705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "265 S Anita Dr Ste 102-104",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683355",
"country_code": "US",
"telephone_number": "714-410-3500",
"fax_number": "714-410-3526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCELROY",
"first_name": "JUDE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-26",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A139436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.