NPIMap

Organization Active NPI

Julie a. Galvin, PH.D., PLLC

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1366845992
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013912 Issued in MI
Legal business name
JULIE A. GALVIN, PH.D., PLLC
Practice address
38349 Churchill LN
Farmington Hills, MI 48331-3781
Phone
(734) 323-4897
NPI assigned
Sep 26, 2014
Last updated
Sep 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Dr. Julie A. Galvin, PH.D., L.P.NPI 1659774289
Title
Licensed Psychologist
Phone
(734) 323-4897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 6301013912 MI Primary
School PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TS0200X SP000035 MI

Addresses

Primary practice location

38349 Churchill LN
Farmington Hills, MI 48331-3781

Mailing address

38349 Churchill LN
Farmington Hills, MI 48331-3781
Phone (734) 323-4897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220915003633 MI Part B Supplier - Clinic/Group Practice 0840675526 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Locations

43155 Main St
Ste 2300
Novi, MI 48375
Phone (248) 931-2463

43155 Main St
Ste 2300G
Novi, MI 48375
Phone (734) 323-4897

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1366845992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38349 CHURCHILL LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313781",
            "telephone_number": "734-323-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38349 CHURCHILL LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313781",
            "telephone_number": "734-323-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE A. GALVIN, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-323-4897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.P."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013912",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "MI",
            "license": "SP000035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.