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

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  • 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
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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.
1073670246
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143127028
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 = 66

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.

ANDREW WEISSKOFF LCSW

Social Worker

(Clinical)

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3813

MR. RAYMOND SING WONG PHARM.D

Pharmacist

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 566-5929

KAISER PERMANENTE

Psychiatric Hospital

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3987

SUSAN CHARLOTTE FETTE MFT

Marriage & Family Therapist

3554 ROUND BARN BLVD
SUITE 100
SANTA ROSA, CA
ZIP 95403

(707) 571-3713

SADIE THORNHILL

Counselor

(Addiction (Substance Use Disorder))

3554 ROUND BARN BLVD
100
SANTA ROSA, CA
ZIP 95403

(707) 571-2514

MS. LAINE HAYNES LCSW

Social Worker

(Clinical)

3554 ROUND BARN BLVD
SUITE 100
SANTA ROSA, CA
ZIP 95403

(707) 571-3884

JAHANZEB ALI KHAN MD

Psychiatry & Neurology

(Psychiatry)

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3778

DR. MORELLA E BOMBARDINI PSY.D.

Psychologist

(Clinical)

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3987

SUZANNE L. ZAVALA

Marriage & Family Therapist

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3778

GRAHAM ELLIOT ROME COOPER PHD

Psychologist

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3778

DR. LYNN M LAMB PSY.D.

Psychologist

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3701

WILLOW MARIE THORSEN LCSW

Social Worker

(Clinical)

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(404) 571-3710

ELISABETH HOLLY BRITTELL PSY.D.

Psychologist

(Clinical)

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3778

TERESA LATOURELLE

Counselor

(Mental Health)

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3842

DR. CHRISTOPHER EVANS

Psychologist

(Clinical)

3554 ROUND BARN BLVD
100
SANTA ROSA, CA
ZIP 95403

(707) 571-3835

DR. JENNIFER ANNE CANNON D.O.

Psychiatry & Neurology

(Psychiatry)

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3778

RAMAN GOSWAMI PSYD

Psychologist

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3778

RAYMOND VINCENT MESSINGER

Marriage & Family Therapist

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3760

DR. JAMES NICHOLAS WORLEDGE M.D.

Psychiatry & Neurology

(Psychiatry)

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 653-3639

DR. CHRISTINE L. BILBREY M.D.

Psychiatry & Neurology

(Psychiatry)

3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403

(707) 571-3778

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073670246, enumerated 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.

Psychologist with taxonomy code 103T00000X.