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
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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.
ANDREW WEISSKOFF LCSW
Social Worker
(Clinical)
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
MR. RAYMOND SING WONG PHARM.D
Pharmacist
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
KAISER PERMANENTE
Psychiatric Hospital
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
SUSAN CHARLOTTE FETTE MFT
Marriage & Family Therapist
3554 ROUND BARN BLVD
SUITE 100
SANTA ROSA, CA
ZIP 95403
SADIE THORNHILL
Counselor
(Addiction (Substance Use Disorder))
3554 ROUND BARN BLVD
100
SANTA ROSA, CA
ZIP 95403
MS. LAINE HAYNES LCSW
Social Worker
(Clinical)
3554 ROUND BARN BLVD
SUITE 100
SANTA ROSA, CA
ZIP 95403
JAHANZEB ALI KHAN MD
Psychiatry & Neurology
(Psychiatry)
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
DR. MORELLA E BOMBARDINI PSY.D.
Psychologist
(Clinical)
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
SUZANNE L. ZAVALA
Marriage & Family Therapist
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
GRAHAM ELLIOT ROME COOPER PHD
Psychologist
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
DR. LYNN M LAMB PSY.D.
Psychologist
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
WILLOW MARIE THORSEN LCSW
Social Worker
(Clinical)
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
ELISABETH HOLLY BRITTELL PSY.D.
Psychologist
(Clinical)
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
TERESA LATOURELLE
Counselor
(Mental Health)
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
DR. CHRISTOPHER EVANS
Psychologist
(Clinical)
3554 ROUND BARN BLVD
100
SANTA ROSA, CA
ZIP 95403
DR. JENNIFER ANNE CANNON D.O.
Psychiatry & Neurology
(Psychiatry)
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
RAMAN GOSWAMI PSYD
Psychologist
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
RAYMOND VINCENT MESSINGER
Marriage & Family Therapist
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
DR. JAMES NICHOLAS WORLEDGE M.D.
Psychiatry & Neurology
(Psychiatry)
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
DR. CHRISTINE L. BILBREY M.D.
Psychiatry & Neurology
(Psychiatry)
3554 ROUND BARN BLVD
SANTA ROSA, CA
ZIP 95403
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.