Individual provider Active NPI

Julie Minter Flynn, M.S. LEP

  • Clinical Neuropsychologist
  • Menlo Park, CA
National Provider Identifier
1972161453
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3578 Issued in CA
Practice address
120A Santa Margarita Ave
Menlo Park, CA 94025-2725
Phone
(415) 786-2533
NPI assigned
May 30, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3578 CA Primary

Addresses

Primary practice location

120A Santa Margarita Ave
Menlo Park, CA 94025-2725

Mailing address

200 Lyndhurst Ave
Belmont, CA 94002-3712
Phone (415) 786-2533

Other names 1

  • Julie Minter Flynn Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3578CAMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1972161453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LYNDHURST AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023712",
            "telephone_number": "415-786-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120A SANTA MARGARITA AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252725",
            "telephone_number": "415-786-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JULIE",
        "middle_name": "MINTER",
        "credential": "M.S. LEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "FLYNN",
            "middle_name": "MINTER",
            "credential": "M.S., LEP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.