DR. JULIE PREMO PHD
NPI 1881229540
Psychologist - Clinical in Ypsilanti, MI

Q: What is Julie Premo's NPI number?

The NPI number for Julie Premo is 1881229540. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Q: What is Julie Premo's specialty?

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

Q: Is Julie Premo enrolled in Medicare?

No. Julie Premo has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Julie Premo was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 03, 2020Opted out of Medicare · through Jan 11, 2028

339 CARRIAGE WAY, YPSILANTI, MI 48197(734) 249-8828 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2025, Jun 26, 2020, Mar 3, 2020 (3 updates tracked since 2020).

On this page

About Dr. Julie Premo Phd NPPES

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

DR. JULIE PREMO PHD (NPI 1881229540) is an individual clinical provider in Ypsilanti, Michigan, licensed in Michigan (6301017860) and active in the NPI registry since March 2020. She has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1881229540

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JULIE PREMOCredential: PHD

Location Address339 CARRIAGE WAYYpsilanti, MI 48197-7449

Mailing Address455 E Eisenhower Pkwy, Ste 300 #1166Ann Arbor, MI 48108-3324 · (734) 249-8828

Phone(734) 249-8828

Sole ProprietorNo

Enumeration DateMarch 3, 2020

Last NPPES UpdateJanuary 3, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1881229540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301017860

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.

339 CARRIAGE WAY, Ypsilanti, MI 48197

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Julie Premo Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024

Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

PREMO PSYCHOLOGICAL SERVICES PLLC

Clinic/Center (Adult Mental Health)

339 CARRIAGE WAY
YPSILANTI, MI 48197

Washtenaw County (734) 249-2282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Premo's NPI number?

The NPI number for Julie Premo is 1881229540. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Julie Premo located?

Julie Premo practices at 339 Carriage Way, Ypsilanti, MI 48197. The listed phone number is (734) 249-8828.

What is Julie Premo's specialty?

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

Is Julie Premo enrolled in Medicare?

No. Julie Premo has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Julie Premo was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.