Professional Clinical Management
NPI 1023263191ActiveOrganization· Psychologist· Provo, UT
Psychologist in Provo, Utah, registered in NPPES in November 2008. The authorized official on file is Randall F. Hyde, PH.D., Clinical Director.
Overview
| NPI | 1023263191 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2008 |
| Last updated in NPPES | Nov 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 851131532501 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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