Individual provider Active NPI

Emily Camille Julian, PH.D.

  • Clinical Psychologist
  • Monterey, CA
National Provider Identifier
1760677835
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27394 Issued in CA
Practice address
1010 Cass St
Suite C-4
Monterey, CA 93940-4515
Phone
(415) 237-0377
Fax
(415) 484-1944
NPI assigned
Sep 11, 2007
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27394 CA Primary

Addresses

Primary practice location

1010 Cass St
Suite C-4
Monterey, CA 93940-4515

Mailing address

1010 Cass St
Suite C-4
Monterey, CA 93940-4515
Phone (415) 237-0377

Other names 1

  • Emily Camille Andrews Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190904002511 CA Practitioner - Clinical Psychologist 4385973130 Practice locations: Monterey, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

166 Carmelito Ave
Apt B
Monterey, CA 93940-4527
Phone (831) 884-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY27394CAMDClinical Psychologist
27394CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Skerritt, Licensed Clinical Social Worker, PC PastSince Jul 17, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1760677835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CASS ST",
            "address_2": "SUITE C-4",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404515",
            "telephone_number": "415-237-0377",
            "fax_number": "415-484-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CASS ST",
            "address_2": "SUITE C-4",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404515",
            "telephone_number": "415-237-0377",
            "fax_number": "415-484-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "EMILY",
        "middle_name": "CAMILLE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ANDREWS",
            "middle_name": "CAMILLE",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.