Julie Kwon, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012143 Issued in MI

Practice address

7 W Square Lake Rd
Bloomfield Hills, MI 48302-0462

Phone

(248) 733-5106

NPI assigned

Feb 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MI2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Julie Kwon, PH.D.LLC

  • Clinical Psychologist
  • Bloomfield Hills, MI
  • NPI 1275958555
  Medicare reassignment NPD Authorized official
• Seneca Family of Agencies

  • Community/Behavioral Health Agency
  • San Leandro, CA
  • NPI 1114001906
  Medicare reassignment NPD
• Seniors Wellness Group, P.C.

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1568419240
  NPD (past)
• Rocketship Education Wisconsin Inc.

  • Local Education Agency (LEA)
  • Milwaukee, WI
  • NPI 1275964025
  NPD (past)
• Seneca Center

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1699972281
  NPD (past)
• Seneca Family of Agencies

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1174801690
  NPD (past)
• Seneca Family of Agencies

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1205152733
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1497028468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W SQUARE LAKE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020462",
            "telephone_number": "248-733-5106",
            "fax_number": "248-509-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W SQUARE LAKE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020462",
            "telephone_number": "248-733-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "24811",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Krot, DO
• Jason H Krupsky, CRNA
• Eric Kruske, DMD
• KS Optom PLLC
• Amanda Betsy Kulka, RN
• Kynergy Home Care
• Lindsay C Laboda, LMSW
• Ashley Rachael Ladomer
• Lai Psychological Services LLC
• Shannon M Laino, FNP

• Clinical Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.