DR. JULIE KWON PH.D.
NPI 1497028468
Psychologist - Clinical in Bloomfield Hills, MI

Q: What is Julie Kwon's NPI number?

The NPI number for Julie Kwon is 1497028468. It was assigned to this individual provider in the NPPES registry on February 21, 2012.

Q: What is Julie Kwon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Julie Kwon was last updated on May 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 21, 2012PECOS Enrolled

7 W SQUARE LAKE RD, BLOOMFIELD HILLS, MI 48302(248) 733-5106 Get Directions Write a Review

NPPES record last updated: May 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Julie Kwon Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JULIE KWON PH.D. (NPI 1497028468) is an individual clinical provider in Bloomfield Hills, Michigan, licensed in Michigan (6301012143) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497028468

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JULIE KWONCredential: PH.D.

Location Address7 W SQUARE LAKE RDBloomfield Hills, MI 48302-0462

Mailing Address7 W Square Lake RdBloomfield Hills, MI 48302-0462 · (248) 733-5106 · Fax (248) 509-4072

Phone(248) 733-5106

Sole ProprietorYes

Enumeration DateFebruary 21, 2012

Last NPPES UpdateMay 2, 2026

NPPES CertifiedMay 2, 2026

✔ NPI 1497028468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301012143

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 24811 (CA)

7 W SQUARE LAKE RD, Bloomfield Hills, MI 48302

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Julie Kwon Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Julie Kwon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Julie Kwon, Ph.D.LLC

Same address

Clinical

7 W SQUARE LAKE RD
Bloomfield Hills, MI 48302

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Julie Kwon Phd LLC

NPI 1275958555 (248) 733-5106

Seneca Family Of Agencies

1,955 mi

Community/Behavioral Health

233 S QUINTANA DR
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1174801690 (909) 798-9547

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS SHATANGELA GIBBS LPC

Counselor (Professional)