Active NPI
Julissa Yvonne Cortes, PSY.D.
- Clinical Psychologist
- Glendale, CA
National Provider Identifier
1730513771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- CAPSY34400
- Practice address
- 601 E Glenoaks Blvd Ste 102
Glendale, CA 91207-1780 - Phone
- (310) 375-4855
- NPI assigned
- Aug 27, 2013
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | CAPSY34400 | CA | Primary |
Addresses
Primary practice location
601 E Glenoaks Blvd Ste 102
Glendale, CA 91207-1780
Mailing address
3718 Roselawn Ave Apt 1
Glendale, CA 91208-1149
Phone (213) 249-5468
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 |
|---|---|---|---|
| CAPSY34400 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1730513771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3718 ROSELAWN AVE APT 1",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081149",
"telephone_number": "213-249-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E GLENOAKS BLVD STE 102",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912071780",
"telephone_number": "310-375-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "JULISSA",
"middle_name": "YVONNE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "CAPSY34400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.