Julie Pomerleau, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P.08240 Issued in OH

Practice address

3454 Oak Alley CT Ste 510
Toledo, OH 43606-5526

Phone

(567) 218-0185

Fax

(419) 930-6721

NPI assigned

Jun 29, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cranberry Psychological Center, Inc.Group PAC ID 3072501626, 45 clinicians

Drescher and Associates Clinical Services LLCGroup PAC ID 0244666170, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Drescher and Associates Clinical Services, LLC

  • Psychologist
  • Maumee, OH
  • NPI 1558837294
  Medicare reassignment Care Compare group NPD
• Cranberry Psychological Center, Inc.

  • Clinical Social Worker
  • Seven Fields, PA
  • NPI 1598745135

  Psychologist

  Medicare reassignment Care Compare group NPD
• Vaitkus Psychological Services LLC

  • Psychologist
  • Maumee, OH
  • NPI 1053853507
  NPD
• Wildwood Counseling Services LLC

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1902665698
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1225523368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 510",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065526",
            "telephone_number": "567-218-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 510",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065526",
            "telephone_number": "567-218-0185",
            "fax_number": "419-930-6721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Kingsbury St",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371865",
            "country_code": "US",
            "telephone_number": "567-218-0185",
            "fax_number": "419-930-6721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3140 Dustin Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436164341",
            "country_code": "US",
            "telephone_number": "567-218-0185",
            "fax_number": "419-930-6721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMERLEAU",
        "first_name": "JULIE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.08240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0301118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anastasia Anthonette Pollard
• Zacary Pollauf, LPC
• Justin Michael Pollock, M.D.
• Samuel Joseph Polonia
• Eric S. Polz, O.T.
• Pomise Peak LLC
• Julie Rohs Pommeranz, MOTR/L
• Amanda Pompili, LPN
• Kristi Lee Pond
• Traci Ponder

• Psychologist in Toledo, OH
• Providers in Toledo, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.