Active NPI
Julia Rosengren, PSY.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1801181276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY29240
- Practice address
- 5252 Balboa Ave
Suite 803
San Diego, CA 92117-6906 - Phone
- (858) 432-3919
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY29240 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
5252 Balboa Ave
Suite 803
San Diego, CA 92117-6906
Mailing address
5252 Balboa Ave
Suite 803
San Diego, CA 92117-6906
Phone (858) 432-3919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 3, 2023 through Jul 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29240 | CA | MD | Clinical Psychologist |
| 29240 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Rosengren Psychologist, Inc. | Clinical | Current | Accepting new patients |
Locations
5252 Balboa Ave
Ste 803
San Diego, CA 92117
Phone (858) 358-6551
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.
-
- Addiction (Substance Use Disorder) Psychologist
- San Diego, CA
- NPI 1114676616
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1801181276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 BALBOA AVE",
"address_2": "SUITE 803",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176906",
"telephone_number": "858-432-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5252 BALBOA AVE",
"address_2": "SUITE 803",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176906",
"telephone_number": "858-432-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENGREN",
"first_name": "JULIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29240",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.