Julie Shmalo Datnow

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

8717 Cliffridge Ave
La Jolla, CA 92037-2115

Phone

(858) 361-7406

NPI assigned

Feb 19, 2013

Last updated

Feb 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 23, 2024 through May 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1790025385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 CLIFFRIDGE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372115",
            "telephone_number": "858-361-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 CLIFFRIDGE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372115",
            "telephone_number": "858-361-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATNOW",
        "first_name": "JULIE",
        "middle_name": "SHMALO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David E. Brockett D.D.S. Inc.

• Marriage & Family Therapist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.