Organization Active NPI

Walnut Avenue Family & Women'S Center

  • Case Management Agency
  • Santa Cruz, CA
National Provider Identifier
1720807142
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Dr. Julie P. Macecevic, PSY23881NPI 1881986578
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.