JULIE PICKHOLTZ (PH.D) – Clinical Neuropsychologist, NPI 1790826907
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,669 CLINICAL PSYCHOLOGIST in PA
Provider Addresses for JULIE PICKHOLTZ (PH.D)
101 E OLNEY AVE
SUITE 400
PHILA, PA 191202421
Phone: (215) 254-2630
Fax: (215) 254-2599
Type: Mailing
60 TOWNSHIP LINE RD
MOSS REHAB
ELKINS PARK, PA 190272220
Phone: (215) 663-6256
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041004000412 | I | Clinical Psychologist | PA | TBD |
| I20200506001569 | I | Clinical Psychologist | ME | TBD |
| I20210921002668 | I | Clinical Psychologist | NH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | TX | |
| Clinical Psychologist | CT | |
| Certified Clinical Nurse Specialist (Cns), Nurse Practitioner | CT | |
| Clinical Psychologist | NH | |
| Nurse Practitioner | MO | |
| Clinical Psychologist | NH | |
| - | TX |
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