MRS. JULIE BUSSMAN PH.D.
NPI 1174702682
Psychologist - Clinical in Mad River, CA

Active since October 31, 2007PECOS EnrolledAccepts Medicare Assignment
321 VAN DUZEN ROAD, MAD RIVER, CA 95552(707) 574-6616(707) 574-6523 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Julie Bussman Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JULIE BUSSMAN PH.D. (NPI 1174702682) is an individual clinical provider in Mad River, California, licensed in California (22145) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1174702682
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMRS. JULIE BUSSMANCredential: PH.D.
Location Address321 VAN DUZEN ROADMad River, CA 95552
Mailing AddressPo Box 211Mad River, CA 95552-0211 · (707) 601-9268
Fax(707) 574-6523
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 31, 2007
Last NPPES UpdateJune 17, 2014
NPI 1174702682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in CA · 22145 Licensed in AZ · 3992 Licensed in MN · LP5708
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
321 VAN DUZEN ROAD, Mad River, CA 95552

Other Identifiers 1

OtherZ125623AZ · Medicare Provider Number

Accepted Insurance

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

Mrs. Julie Bussman Ph.d. 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 ID3870652803
PECOS Enrollment IDI20140930002935
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95552 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
321 VAN DUZEN ROAD
MAD RIVER, CA 95552

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 Julie Bussman's NPI number?

The NPI number for Julie Bussman is 1174702682. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Where is Julie Bussman located?

Julie Bussman practices at 321 Van Duzen Road, Mad River, CA 95552. The listed phone number is (707) 574-6616.

What is Julie Bussman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Julie Bussman enrolled in Medicare?

Yes. Julie Bussman 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.

What insurance does Julie Bussman accept?

Health plans from Providence Health Plan list Julie Bussman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julie Bussman was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.