Julia Z Brochstein, M.A., LMFT#116941
Individual provider Active NPI Clinical Psychologist · Lafayette, CA
NPI 1770825812 · NPPES record last updated Feb 14, 2024
Key facts
- NPI
- 1770825812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 116941 (CA)
- Practice address
- 3468 Mt Diablo Blvd Ste 201
Lafayette, CA 94549-3957 - Phone
- (925) 482-6332
- NPI assigned
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116941 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| YMCA Youth and Family Services | Past | Accepting new patients | |
| YMCA of San Diego County | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 116941 | CA | Yes |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
3468 Mt Diablo Blvd Ste 201
Lafayette, CA 94549-3957
Mailing address
3527 Mt Diablo Blvd Ste 135
Lafayette, CA 94549-3815
Phone (925) 482-6332
Other providers in Lafayette, CA
- Breitling Audiology Group PC
- Erik Martin Breitling
- Eleanor Katherine Breslin
- Christine M Brewer
- Brightside Speech Therapy
- Moriah Brooks
- Tim Browne
- Lauren Bruhn
- Justine Berniece Buelna
- Violet Anne Buffalo
All providers in Lafayette, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.