Active NPI
Julie Manoogian PSYD Psychologist Apc
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1851924401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- JULIE MANOOGIAN PSYD PSYCHOLOGIST APC
- Practice address
- 12625 High Bluff Dr Ste 202
San Diego, CA 92130-2053 - Phone
- (858) 213-1014
- NPI assigned
- Feb 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Manoogian, PSYD
- Title
- President / Owner
- Phone
- (858) 213-1014
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
12625 High Bluff Dr Ste 202
San Diego, CA 92130-2053
Mailing address
12625 High Bluff Dr Ste 202
San Diego, CA 92130-2053
Phone (858) 213-1014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7514 Girard Ave
Ste 3
La Jolla, CA 92037
Phone (858) 213-1014
12625 High Bluff Dr
Ste 202
San Diego, CA 92130
Phone (858) 213-1014
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- San Diego, CA
- NPI 1922658418
-
- Clinical Psychologist
- La Jolla, CA
- NPI 1225029309
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1669962601
-
- Clinical Social Worker
- La Jolla, CA
- NPI 1417713629
-
- Clinical Psychologist
- Chula Vista, CA
- NPI 1538207634
-
- Psychologist
- La Jolla, CA
- NPI 1437976321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1851924401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12625 HIGH BLUFF DR STE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302053",
"telephone_number": "858-213-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12625 HIGH BLUFF DR STE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302053",
"telephone_number": "858-213-1014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIE MANOOGIAN PSYD PSYCHOLOGIST APC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "MANOOGIAN",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "PRESIDENT / OWNER",
"authorized_official_telephone_number": "858-213-1014",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"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 Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.