Individual provider Active NPI

Julia Yates Malone, MA

  • Marriage & Family Therapist
  • Chula Vista, CA
National Provider Identifier
1780322255
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
94900 Issued in CA
Practice address
1437 Stanislaus Dr
Chula Vista, CA 91913-1479
Phone
(760) 855-7653
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 94900 CA Primary

Addresses

Primary practice location

1437 Stanislaus Dr
Chula Vista, CA 91913-1479

Mailing address

1437 Stanislaus Dr
Chula Vista, CA 91913-1479
Phone (760) 855-7653

Other names 1

  • Julia Hamlin Yates Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 12, 2024 through Aug 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
94900CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance and Bloom Family Therapy Inc. Marriage & Family Therapist CurrentSince Oct 2, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1780322255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 STANISLAUS DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131479",
            "telephone_number": "760-855-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 STANISLAUS DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131479",
            "telephone_number": "760-855-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "JULIA",
        "middle_name": "YATES",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "YATES",
            "middle_name": "HAMLIN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.