JUSTINE WYNN
NPI 1174076988
Community/Behavioral Health in Ojai, CA

Q: 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.

Q: What is Justine Wynn's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: 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.

Active since July 28, 2016PECOS EnrolledAccepts Medicare Assignment

530 W OJAI AVE, #204, OJAI, CA 93023(805) 640-5148 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1174076988

Entity TypeIndividualFemale

Primary Taxonomy251S00000X

Provider Legal NameJUSTINE WYNN

Location Address530 W OJAI AVE, #204Ojai, CA 93023-2462

Mailing Address226 W Ojai Ave, #101-439Ojai, CA 93023-3277 · (805) 640-5148

Phone(805) 640-5148

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 28, 2016

✔ NPI 1174076988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in CA · 27876

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

530 W OJAI AVE, Ojai, CA 93023

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9537594825

PECOS Enrollment IDI20200114003243

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. JOHN E. NELSON M.D.

Psychiatry & Neurology (Psychiatry)

530 W OJAI AVE, 206
OJAI, CA 93023

Ventura County (805) 640-8549

DR. BRUCE WHYDDON GLADSTONE PH.D.

Psychologist (Counseling)

530 W OJAI AVE, SUITE 208
OJAI, CA 93023

Ventura County (805) 646-9724

JUSTINE WYNN PHD

Community/Behavioral Health

530 W OJAI AVE, SUITE 204
OJAI, CA 93023

Ventura County (805) 640-5148

ANDREA NELSON PSY.D.

Psychologist (Clinical)

530 W OJAI AVE, SUITE 206
OJAI, CA 93023

Ventura County (805) 640-8549

MRS. ALYSA KIMBERLY GRIGSBY MFT

Marriage & Family Therapist

530 W OJAI AVE, #208
OJAI, CA 93023

Ventura County (805) 646-9724

JULIE ANN SARDONIA M.A., LMFT

Marriage & Family Therapist

530 W OJAI AVE, SUITE 204
OJAI, CA 93023

Ventura County (805) 797-5539

GLADSTONE COUNSELING CENTER

Psychologist (Counseling)

530 W OJAI AVE, SUITE 208
OJAI, CA 93023

Ventura County (805) 646-9724

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.

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.