Julie Kirkes

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C-07799 Issued in NM

Legal business name

JULIE KIRKES

Practice address

5342 Dudley Blvd.
MCCL/116
McClellan, CA 95652

Phone

(916) 561-7627

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Julie Tracy, LCSW

Title

Owner

Phone

(575) 642-0984

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Ann Kirkes, LCSW

  • Clinical Social Worker
  • Travis Afb, CA
  • NPI 1285940320
  NPD (past)

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1457739328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2344",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956608344",
            "telephone_number": "575-642-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD.",
            "address_2": "MCCL/116",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "95652",
            "telephone_number": "916-561-7627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 S Solano Dr",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "88001",
            "country_code": "US",
            "telephone_number": "575-642-0984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIE KIRKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-642-0984",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "C-07799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15204278",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabri Alise Janovich
• Moon Yub Jeu, M.D.
• Glenda Fe Jimenez, RN
• Jessica Marie Johnson, AUD
• Tresa M Jones, MSW
• Debra Lynne Karling-Isaacs, MD
• Scott Kazer, MS, PPSC
• Ashley Nicole Kingkham
• Matthew R Kugelman, HS
• Elena Lanin, RN, BSN

• All providers in McClellan, CA
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.