Julie Mack, PH.D.
NPI 1417000902ActiveIndividual· Psychologist· Longmont, CO
Psychologist (PH.D.) in Longmont, Colorado, licensed in CO, with an NPI issued in January 2007. Medicare paid $81,831 for services to 27 patients in 2024.
Overview
| NPI | 1417000902 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jan 19, 2007 |
| Last updated in NPPES | Mar 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2326 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 707 across 5 procedure codes |
| Paid by Medicare | $81,831 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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