Eliza Rachelle Gedge, PH.D., LP
NPI 1003197658ActiveIndividual· Psychologist, Clinical· Provo, UT
Psychologist, Clinical (PH.D., LP) in Provo, Utah, licensed in UT and MI, with an NPI issued in September 2011.
Overview
| NPI | 1003197658 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., LP |
| Sole proprietor | No |
| NPI issued | Sep 8, 2011 |
| Last updated in NPPES | Apr 2, 2024 |
| Certified by provider | Apr 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 12966150-25801 | UT |
| Psychologist, Counseling | 103TC1900X | 6301014858 | MI |
| Social Worker, Clinical | 1041C0700X | 12966150-2501 | UT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Other clinical psychologists in Provo
- 1003551953
- 1285651968
- 1407015787
- 1629431788
- 1659095602
- 1699912394
- 1790616985
- 1841022795
- 1083793467
- 1295229466
- 1306080544
- 1528528833
All 63 clinical psychologists in Provo · All clinical psychologists in Utah