DR. JULIE LYNN LUSTIG (NPI# 1740838697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740838697 |
| Entity Type | Individual |
| Full Name | DR. JULIE LYNN LUSTIG |
| Credential | PH.D. |
| Practice Address |
843 El Camino Real Menlo Park CA 94025-4807 |
| Practice Telephone | 6502899100 |
| Mailing Telephone | 6502899100 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY15670 | CA | Behavioral Health & Social Service Providers |
| Street Address |
843 EL CAMINO REAL |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415098 | Thera Inc. | Psychologist | 90 Middlefield Rd, Menlo Park, CA 94025-4001 | 2020-04-07 |
| 1174181291 | Laura Leigh Palmer | Psychologist | 2048 Sterling Ave, Menlo Park, CA 94025-6016 | 2019-06-04 |
| 1134782089 | Nicole Shiloff | Psychologist | 1150 University Dr Ste 101, Menlo Park, CA 94025-4447 | 2019-04-16 |
| 1548635568 | Karen Dearing | Psychologist | 1220 University Dr Ste 102, Menlo Park, CA 94025-4259 | 2015-12-02 |
| 1457759888 | Julian Gorodsky | Psychologist | 870 Coleman Ave, Menlo Park, CA 94025-2408 | 2014-12-17 |
| 1528370285 | Constance Dowd Burton | Psychologist | 800 Menlo Ave Ste 209, Menlo Park, CA 94025-4732 | 2010-07-10 |
| 1598077380 | Diane Strachowski | Psychologist | 1220 University Dr Ste 202, Menlo Park, CA 94025-4259 | 2010-07-08 |
| 1962632760 | Elke Jahn | Psychologist | 800 Menlo Ave Ste 120, Menlo Park, CA 94025-4732 | 2009-07-15 |
| 1942427554 | Juan Pablo Ferrer | Psychologist | 804 Arbor Rd, Menlo Park, CA 94025-5022 | 2007-04-18 |
| 1174658751 | Mary Jean Sanders | Psychologist | 903 Alice Ln, Menlo Park, CA 94025-5124 | 2007-02-22 |
| Find all providers in MENLO PARK | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
Please comment or provide details below to improve the information on DR. JULIE LYNN LUSTIG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.