Individual provider Active NPI

Julie Nivela

  • Licensed Psychiatric Technician
  • Downey, CA
National Provider Identifier
1609205384
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
35778 Issued in CA
Practice address
7755 Leeds St
Downey, CA 90242-3489
Phone
(562) 719-2867
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X 35778 CA Primary

Addresses

Primary practice location

7755 Leeds St
Downey, CA 90242-3489

Mailing address

8634 Cataba Rd
Hesperia, CA 92344-9721
Phone (760) 980-4019

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
35778CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star View Behavioral Health, Inc. CurrentSince Dec 15, 2024 Accepting new patients
Star View Behavioral Health, Inc. PastSince Dec 15, 2024 Accepting new patients

Locations

7755 Leeds St
Downey, CA 90242
Phone (562) 719-2866

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1609205384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8634 CATABA RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923449721",
            "telephone_number": "760-980-4019",
            "fax_number": "909-580-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 LEEDS ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423489",
            "telephone_number": "562-719-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVELA",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "35778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.