Individual provider Active NPI

Julia Rosengren, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1801181276
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29240 Issued in CA
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

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
PSY29240CAMDClinical Psychologist
29240CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.