JUSTINE WYNN
NPI 1174076988
Community/Behavioral Health in Ojai, CA
About Justine Wynn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTINE WYNN (NPI 1174076988) is an individual community/behavioral health provider in Ojai, California, licensed in California (27876) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justine Wynn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Justine Wynn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ojai, CA 93023
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justine Wynn's NPI number?
The NPI number for Justine Wynn is 1174076988. It was assigned to this individual provider in the NPPES registry on July 28, 2016.
Where is Justine Wynn located?
Justine Wynn practices at 530 W Ojai Ave #204, Ojai, CA 93023. The listed phone number is (805) 640-5148.
What is Justine Wynn's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Justine Wynn enrolled in Medicare?
Yes. Justine Wynn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Justine Wynn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justine Wynn reassigns Medicare benefits to Justine Wynn Phd (Ojai, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justine Wynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Justine Wynn was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Justine Wynn · NPI 1174076988
Community/Behavioral Health provider in Ojai, California. Individual provider, active in the CMS NPPES registry since July 28, 2016.
## Identity
- **NPI:** 1174076988 (Entity type: Individual)
- **Enumerated:** July 28, 2016
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **State license:** 27876 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 530 W OJAI AVE, #204, Ojai, CA 93023-2462
- **Phone:** (805) 640-5148
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Justine Wynn Phd (NPI 1336505726, Ojai, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 28, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1174076988) · Data from the CMS NPPES public registry.