Laura Elizabeth Reardon, PHD
NPI 1023290459ActiveIndividual· Psychologist, Clinical· Jbsa Lackland, TX
Psychologist, Clinical (PHD) with Vitality Clinical Services PLLC, practicing in Jbsa Lackland, Texas. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1023290459 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Nov 27, 2007 |
| Last updated in NPPES | Aug 8, 2023 |
| Certified by provider | Aug 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 39396 | TX |
| Psychologist | 103T00000X | — | — |
| Psychologist | 103T00000X | PY8304 | FL |
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) | Enrolled Practitioner - Psychologist Billing Independently (TX) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Vitality Clinical Services PLLCFort Worth, TX · 3 clinicians
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All 23 clinical psychologists in Jbsa Lackland · All clinical psychologists in Texas