JULIE TRIM PH.D.
NPI 1851697205
Psychologist - Clinical in San Diego, CA

Active since February 02, 2011Opted out of Medicare · through Apr 1, 2028
4510 EXECUTIVE DR, SUITE 315, SAN DIEGO, CA 92121(858) 534-7719 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Julie Trim Ph.d. NPPES

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

JULIE TRIM PH.D. (NPI 1851697205) is an individual clinical provider in San Diego, California, licensed in California (PSY 22814) and active in the NPI registry since February 2011. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1851697205
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJULIE TRIMCredential: PH.D.
Location Address4510 EXECUTIVE DR, SUITE 315San Diego, CA 92121-3021
Mailing Address4510 Executive Dr, Suite 315San Diego, CA 92121-3021 · (858) 534-7719
Sole ProprietorYes
Enumeration DateFebruary 2, 2011
Last NPPES UpdateMarch 14, 2013
NPI 1851697205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY 22814
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.
4510 EXECUTIVE DR, San Diego, CA 92121

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 Trim Ph.d. 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 April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Chiropractor
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
Clinical Nurse Specialist (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
Registered Nurse
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
Pathology (Clinical Pathology/Laboratory Medicine)
4510 EXECUTIVE DR, SUITE 2257
SAN DIEGO, CA 92121
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR, SUITE 115
SAN DIEGO, CA 92121
Chiropractor (Sports Physician)
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
Surgery (Vascular Surgery)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121

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 Trim's NPI number?

The NPI number for Julie Trim is 1851697205. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Julie Trim located?

Julie Trim practices at 4510 Executive Dr Suite 315, San Diego, CA 92121. The listed phone number is (858) 534-7719.

What is Julie Trim's specialty?

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

Is Julie Trim enrolled in Medicare?

No. Julie Trim has opted out of Medicare through April 1, 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 Trim was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.