Individual provider Active NPI

Julia M. Becker, PSY.D..

  • Psychologist
  • Waco, TX
National Provider Identifier
1447438320
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33615 Issued in TX
Practice address
8414 Old McGregor Rd
Unit B
Waco, TX 76712-6496
Phone
(254) 716-9525
Fax
(254) 731-2598
NPI assigned
Feb 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 33615 TX Primary
Clinical Psychologist 103TC0700X 33615 TX

Addresses

Primary practice location

8414 Old McGregor Rd
Unit B
Waco, TX 76712-6496

Mailing address

8414 Old McGregor Rd
Unit B
Waco, TX 76712-6496
Phone (254) 716-9525

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

LicenseStateTypeSpecialty
33615TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1447438320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 OLD MCGREGOR RD",
            "address_2": "UNIT B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126496",
            "telephone_number": "254-716-9525",
            "fax_number": "254-731-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 OLD MCGREGOR RD",
            "address_2": "UNIT B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126496",
            "telephone_number": "254-716-9525",
            "fax_number": "254-731-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JULIA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D..",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33615",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.