Active NPI
Julia C J Domville, MFT
- Psychologist
- Fremont, CA
National Provider Identifier
1538147541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MFC 12167
- Practice address
- 38950 Blacow Rd
Ste D
Fremont, CA 94536 - Phone
- (510) 790-1428
- NPI assigned
- Jan 9, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | MFC 12167 | CA | Primary |
Addresses
Primary practice location
38950 Blacow Rd
Ste D
Fremont, CA 94536
Mailing address
38950 Blacow Rd
Ste D
Fremont, CA 94536
Phone (510) 790-1428
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 |
|---|---|---|---|
| MFC 12167 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1538147541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38950 BLACOW RD",
"address_2": "STE D",
"city": "FREMONT",
"state": "CA",
"postal_code": "94536",
"telephone_number": "510-790-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38950 BLACOW RD",
"address_2": "STE D",
"city": "FREMONT",
"state": "CA",
"postal_code": "94536",
"telephone_number": "510-790-1428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMVILLE",
"first_name": "JULIA",
"middle_name": "C J",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "MFC 12167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.