Julia A. M. Glazko, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071-005351 Issued in IL

Practice address

1945 Pauline Blvd Ste 14
Ann Arbor, MI 48103-5047

Phone

(734) 661-2555

Fax

(734) 273-9003

NPI assigned

Apr 20, 2007

Last updated

Jan 27, 2024By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1902023617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 FAIR OAKS PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043628",
            "telephone_number": "630-663-1214",
            "fax_number": "734-273-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 PAULINE BLVD STE 14",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035047",
            "telephone_number": "734-661-2555",
            "fax_number": "734-273-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Ogden Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605152964",
            "country_code": "US",
            "telephone_number": "630-663-1214",
            "fax_number": "734-273-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAZKO",
        "first_name": "JULIA",
        "middle_name": "A. M.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-005351",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": "071-005351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902023617",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13520059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Glashouwer
• Joseph Edwin Glass, LLMSW
• Megan Renea Glassford, MMSC, LCGC
• Evan Scott Glazer, MD
• Lynn Romaine Glazewski, R.D., M.P.H.
• Thomas Michael Glenn, MD
• Hannah Glick
• Michelle Sarah Glick, MD
• Rachel L Glick, MD
• Joyce A Glisson, MSW

• Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; 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.