Randall Clifford Nedegaard, PH.D
NPI 1013908946ActiveIndividual· Psychologist, Clinical· Grand Forks Afb, ND
Psychologist, Clinical (PH.D) in Grand Forks Afb, North Dakota, licensed in KS and WI, with an NPI issued in October 2005.
Overview
| NPI | 1013908946 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | No |
| NPI issued | Oct 31, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 1126 | KS |
| Social Worker, Clinical | 1041C0700X | 123-1858 | WI |
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 |
|---|
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