JULIE DAVIDGE
NPI 1760690598
Marriage & Family Therapist in Manhattan Beach, CA

Active since May 17, 2007Opted out of Medicare · through Feb 17, 2028
2100 N SEPULVEDA BLVD STE 34, MANHATTAN BEACH, CA 90266(310) 678-2557 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Julie Davidge NPPES

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

JULIE DAVIDGE (NPI 1760690598) is an individual marriage & family therapist in Manhattan Beach, California, licensed in California (MFC 25415) and active in the NPI registry since May 2007. She has opted out of Medicare through February 17, 2028.

NPPES Registry Identity

NPI1760690598
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJULIE DAVIDGE
Location Address2100 N SEPULVEDA BLVD STE 34Manhattan Beach, CA 90266-2958
Mailing Address216 29th StManhattan Beach, CA 90266-2021 · (310) 678-2557
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1760690598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC 25415
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2100 N SEPULVEDA BLVD STE 34, Manhattan Beach, CA 90266

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Julie Davidge has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 17, 2024 through February 17, 2028.

Opt-Out Effective DateFebruary 17, 2024
Opt-Out In Effect ThroughFebruary 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Davidge's NPI number?

The NPI number for Julie Davidge is 1760690598. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Julie Davidge located?

Julie Davidge practices at 2100 N Sepulveda Blvd Ste 34, Manhattan Beach, CA 90266. The listed phone number is (310) 678-2557.

What is Julie Davidge's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Julie Davidge enrolled in Medicare?

No. Julie Davidge has opted out of Medicare through February 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Julie Davidge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.