Individual provider Active NPI

Julia Behen Kubek

  • Psychologist
  • Novi, MI
National Provider Identifier
1841828209
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6351001502 Issued in MI
Practice address
43155 Main St Ste 2300G
Novi, MI 48375-1889
Phone
(734) 323-4897
NPI assigned
Mar 31, 2020
Last updated
May 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6351001502 MI Primary

Addresses

Primary practice location

43155 Main St Ste 2300G
Novi, MI 48375-1889

Mailing address

2158 Browning St
Ferndale, MI 48220-1162
Phone (313) 212-7807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6351001502MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie a. Galvin, PH.D., PLLC Psychologist CurrentSince Jul 1, 2022 Accepting new patients

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1841828209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 BROWNING ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201162",
            "telephone_number": "313-212-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43155 MAIN ST STE 2300G",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751889",
            "telephone_number": "734-323-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBEK",
        "first_name": "JULIA",
        "middle_name": "BEHEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6351001502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.