Active NPI
Walnut Avenue Family & Women'S Center
- Case Management Agency
- Santa Cruz, CA
National Provider Identifier
1720807142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- WALNUT AVENUE FAMILY & WOMEN'S CENTER
- Practice address
- 303 Walnut Ave
Santa Cruz, CA 95060-3659 - Phone
- (831) 426-3062
- NPI assigned
- Oct 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julie P. Macecevic, PSY23881
- Title
- Executive Director
- Phone
- (831) 426-3062
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X |
Addresses
Primary practice location
303 Walnut Ave
Santa Cruz, CA 95060-3659
Mailing address
303 Walnut Ave
Santa Cruz, CA 95060-3659
Phone (831) 426-3062
National Provider Directory
National Provider DirectoryLocations
303 Walnut Ave
Santa Cruz, CA 95060
Phone (831) 426-3062
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Santa Cruz, CA
- NPI 1881986578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1720807142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 WALNUT AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603659",
"telephone_number": "831-426-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 WALNUT AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603659",
"telephone_number": "831-426-3062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALNUT AVENUE FAMILY & WOMEN'S CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "MACECEVIC",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "831-426-3062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY23881"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.