Julianne Stoll Van Schoor, MD

Individual provider Active NPI Child & Adolescent Psychiatry Physician · Healdsburg, CA

NPI 1831235514 · NPPES record last updated Oct 29, 2024

Key facts

NPI
1831235514
Entity type
Individual (NPI type 1)
Primary specialty
Child & Adolescent Psychiatry Physician 2084P0804X
License
A60981 (CA)
Practice address
1310 Prentice Dr
Suite a
Healdsburg, CA 95448-3384
Phone
(707) 473-8445
Fax
(707) 473-8451
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60981CAMDGeneral Practice Dentistry
A60981CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Hospital Corporation Current
since Mar 1, 2023
Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation Current
since Mar 1, 2023
Accepting new patients

Locations

1621 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9222

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 57663 KY
Child & Adolescent Psychiatry Physician 2084P0804X A60981 CA Yes

Addresses

Primary practice location

1310 Prentice Dr
Suite a
Healdsburg, CA 95448-3384

Mailing address

1310 Prentice Dr
Suite a
Healdsburg, CA 95448-3384
Phone (707) 473-8445

Other practice location 1

1621 N Main St
Beaver Dam, KY 42320-8963
Phone (270) 274-9222

Other providers in Healdsburg, CA

All providers in Healdsburg, CA · Child & Adolescent Psychiatry Physician in California

Sources for this page

Verify at the official NPI Registry.