Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Julie Bussman, PHD

Individual provider Clinical Psychologist · NPI 1174702682

Mrs. Julie Bussman, PHD is a Clinical Psychologist in Mad River, California. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Arizona, California and Minnesota.

Years since qualifying
19
Licensed in
AZ, CA, MN
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

321 Van Duzen Rd
Mad River, CA 95552
Phone: (707) 574-6616
Fax: (707) 574-6523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 22145 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 3992 (AZ)
Clinical Psychologist Taxonomy 103TC0700X · Licence LP5708 (MN)

Record details

NPI number1174702682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 31, 2007
Last updated in NPPESJune 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare