MRS. JULIE FRANCES FENNIMORE PSY.D
NPI 1073670246
Psychologist in Santa Rosa, CA
NPI Status: Active since January 03, 2007
Contact Information
3554 ROUND BARN BLVD
100
SANTA ROSA, CA
ZIP 95403
Phone: (707) 571-3729
- Individual
- Female
- Psychologist
- Opted-Out Medicare
About JULIE FENNIMORE
This page provides the complete NPI Profile along with additional information for Julie Fennimore, a provider established in Santa Rosa, California with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1073670246 assigned on January 2007. The practitioner's primary taxonomy code is 103T00000X with license number PSY 18518 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1073670246
- Provider Name
- MRS. JULIE FRANCES FENNIMORE PSY.D
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3554 ROUND BARN BLVD 100 SANTA ROSA, CA 95403
- Location Phone
- (707) 571-3729
- Mailing Address
- 3554 ROUND BARN BLVD SANTA ROSA, CA 95403
- Mailing Phone
- (707) 571-3729
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-03-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A psychologist like Julie Fennimore studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Julie Fennimore opted out of Medicare effective on 01-01-2023 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY 18518
- License State
- CA
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2023
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? No
Reviews for MRS. JULIE FRANCES FENNIMORE PSY.D
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 6 | 7 | 0 | 2 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 12 | 7 | 0 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 2 + 7 + 0 + 2 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1073670246 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316953193 | ANDREW WEISSKOFF LCSW Individual | Social Worker (Clinical) | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3813 |
| 1063793669 | MR. RAYMOND SING WONG PHARM.D Individual | Pharmacist | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 566-5929 |
| 1538441332 | KAISER PERMANENTE Organization | Psychiatric Hospital | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3987 |
| 1639516198 | SUSAN CHARLOTTE FETTE MFT Individual | Marriage & Family Therapist | 3554 ROUND BARN BLVD SUITE 100 SANTA ROSA, CA 95403 (707) 571-3713 |
| 1639533326 | SADIE THORNHILL Individual | Counselor (Addiction (Substance Use Disorder)) | 3554 ROUND BARN BLVD 100 SANTA ROSA, CA 95403 (707) 571-2514 |
| 1134337736 | MS. LAINE HAYNES LCSW Individual | Social Worker (Clinical) | 3554 ROUND BARN BLVD SUITE 100 SANTA ROSA, CA 95403 (707) 571-3884 |
| 1952648156 | JAHANZEB ALI KHAN MD Individual | Psychiatry & Neurology (Psychiatry) | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3778 |
| 1437432218 | DR. MORELLA E BOMBARDINI PSY.D. Individual | Psychologist (Clinical) | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3987 |
| 1962718544 | SUZANNE L. ZAVALA Individual | Marriage & Family Therapist | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3778 |
| 1164066064 | GRAHAM ELLIOT ROME COOPER PHD Individual | Psychologist | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3778 |
| 1669664330 | DR. LYNN M LAMB PSY.D. Individual | Psychologist | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3701 |
| 1689942286 | WILLOW MARIE THORSEN LCSW Individual | Social Worker (Clinical) | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (404) 571-3710 |
| 1629115357 | ELISABETH HOLLY BRITTELL PSY.D. Individual | Psychologist (Clinical) | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3778 |
| 1790150795 | TERESA LATOURELLE Individual | Counselor (Mental Health) | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3842 |
| 1891990628 | DR. CHRISTOPHER EVANS Individual | Psychologist (Clinical) | 3554 ROUND BARN BLVD 100 SANTA ROSA, CA 95403 (707) 571-3835 |
| 1861831711 | DR. JENNIFER ANNE CANNON D.O. Individual | Psychiatry & Neurology (Psychiatry) | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3778 |
| 1235744863 | RAMAN GOSWAMI PSYD Individual | Psychologist | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3778 |
| 1912630740 | RAYMOND VINCENT MESSINGER Individual | Marriage & Family Therapist | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3760 |
| 1013949700 | DR. JAMES NICHOLAS WORLEDGE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 653-3639 |
| 1376766311 | DR. CHRISTINE L. BILBREY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3554 ROUND BARN BLVD SANTA ROSA, CA 95403 (707) 571-3778 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073670246, enumerated in the NPI registry as an "individual" on January 03, 2007
The provider is located at 3554 Round Barn Blvd 100 Santa Rosa, Ca 95403 and the phone number is (707) 571-3729
The provider's speciality is Psychologist with taxonomy code 103T00000X
No, the provider signed an affidavit on January 01, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.
This NPI record was last updated on January 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.