Individual provider Active NPI

Juliene Grace Palomar Fresnedi

  • Psychologist
  • Pasadena, CA
National Provider Identifier
1841771573
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35663 Issued in CA
Practice address
680 E Colorado Blvd Ste 180&2ND
Pasadena, CA 91101-6143
Phone
(646) 941-7645
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X CA
Psychologist 103T00000X 35663 CA Primary

Addresses

Primary practice location

680 E Colorado Blvd Ste 180&2ND
Pasadena, CA 91101-6143

Mailing address

32 Jennings CT
San Francisco, CA 94124-1718
Phone (650) 892-2550

Other practice location 1

1038 Post St
San Francisco, CA 94109-5603
Phone (415) 775-2636

Other practice location 2

609 Price Ave Ste 205
Redwood City, CA 94063-1403
Phone (650) 591-9623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35663CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1841771573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 JENNINGS CT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241718",
            "telephone_number": "650-892-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E COLORADO BLVD STE 180&2ND",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911016143",
            "telephone_number": "646-941-7645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1038 Post St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941095603",
            "country_code": "US",
            "telephone_number": "415-775-2636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Price Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940631403",
            "country_code": "US",
            "telephone_number": "650-591-9623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRESNEDI",
        "first_name": "JULIENE GRACE",
        "middle_name": "PALOMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "35663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.