Active NPI
Julie Fisher Jacoby, MA, PPS
- School Counselor
- Castro Valley, CA
National Provider Identifier
1740031434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 17520 Redwood Rd
Castro Valley, CA 94546-1434 - Phone
- (510) 537-0630
- NPI assigned
- Mar 29, 2024
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | CA | Primary |
Addresses
Primary practice location
17520 Redwood Rd
Castro Valley, CA 94546-1434
Mailing address
17520 Redwood Rd
Castro Valley, CA 94546-1434
Phone (510) 736-3198
Other practice location 1
6395 Palo Verde Rd
Castro Valley, CA 94552-9708
Phone (510) 582-4207
Other names 1
- Julie Fisher
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1740031434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17520 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945461434",
"telephone_number": "510-736-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17520 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945461434",
"telephone_number": "510-537-0630"
}
],
"practiceLocations": [
{
"address_1": "6395 Palo Verde Rd",
"address_purpose": "LOCATION",
"city": "Castro Valley",
"state": "CA",
"postal_code": "945529708",
"country_code": "US",
"telephone_number": "510-582-4207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBY",
"first_name": "JULIE",
"middle_name": "FISHER",
"credential": "MA, PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-29",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "FISHER",
"credential": "MA, PPS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.