Julie Peters Macecevic, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23881 Issued in CA

Practice address

303 Walnut Ave
Santa Cruz, CA 95060-3659

Phone

(831) 426-3062

Fax

(831) 426-3070

NPI assigned

May 12, 2011

Last updated

Sep 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walnut Avenue Family & Women's Center

  • Case Management Agency
  • Santa Cruz, CA
  • NPI 1720807142
  NPD Authorized official

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1881986578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WALNUT AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603659",
            "telephone_number": "831-426-3062",
            "fax_number": "831-426-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WALNUT AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603659",
            "telephone_number": "831-426-3062",
            "fax_number": "831-426-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACECEVIC",
        "first_name": "JULIE",
        "middle_name": "PETERS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Wing Wah Ma, PHARMD
• Timothy Ma
• Ariel Maayan, L.AC.
• Brenda Marguerite Macdonald
• Jessica Michelle Macdonald, BA
• Jacqueline Sarah Macewan
• Beata Mach, MD
• Tanya Kristina Machnick, D.D.S., M.S.
• Bertha Raquel Macias
• Jesus Macias

• Clinical Psychologist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.