Active NPI
Julie Devito
- Clinical Psychologist
- Mission Viejo, CA
National Provider Identifier
1427721679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB94025414
- Practice address
- 26302 La Paz Rd Ste 201
Mission Viejo, CA 92691-5328 - Phone
- (949) 586-9848
- NPI assigned
- Jul 25, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB94025414 | CA | Primary |
Addresses
Primary practice location
26302 La Paz Rd Ste 201
Mission Viejo, CA 92691-5328
Mailing address
24512 Alta Loma CT
Laguna Hills, CA 92653-6217
Phone (949) 275-8957
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 |
|---|---|---|---|
| PSB94025414 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627171200000",
"number": "1427721679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24512 ALTA LOMA CT",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926536217",
"telephone_number": "949-275-8957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26302 LA PAZ RD STE 201",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915328",
"telephone_number": "949-586-9848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVITO",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-25",
"last_updated": "2021-07-25",
"certification_date": "2021-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94025414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.