JULIE JOHNSTON KOENIG PSYD
Complete NPI Record 1750443354
Counselor - Mental Health in Santa Clara, CA

NPI Status: Active since December 14, 2006

Contact Information

3840 HOMESTEAD RD
SANTA CLARA, CA
ZIP 95051
Phone: (408) 851-4890

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Complete NPI Dataset

This page represents the complete record for NPI 1750443354. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750443354
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The first name of the provider, if the provider is an individual.
Provider First Name: JULIE
The middle name of the provider, if the provider is an individual.
Provider Middle Name: JOHNSTON
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Credential Text: PSYD
The city name in the mailing address of the provider being identified.
Provider First Line Business Mailing Address: 565 GRESHAM AVE
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address City Name: SUNNYVALE
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address State Name: CA
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Postal Code: 940853752
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Country Code If outside U S : US
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Mailing Address Telephone Number: 9254827064
The city name in the location address of the provider being identified.
Provider First Line Business Practice Location Address: 3840 HOMESTEAD RD
The State code in the location of the provider being identified.
Provider Business Practice Location Address City Name: SANTA CLARA
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address State Name: CA
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code: 950514542
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S : US
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address Telephone Number: 4088514890
The date that a record was last updated or changed.
Provider Enumeration Date: 12/14/2006
The code designating the provider’s gender if the provider is a person.
Last Update Date: 1/3/2022
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Gender Code: F
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Taxonomy Code 1: 101YM0800X
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.