Geromedical Psychological Service Ps
NPI 1043501836ActiveOrganization· Psychologist, Clinical· Portland, OR
Psychologist, Clinical in Portland, Oregon, registered in NPPES in April 2011. The authorized official on file is Derick A. Scovel, PHD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043501836 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2011 |
| Last updated in NPPES | Sep 17, 2020 |
| Certified by provider | Sep 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2074 | OR |
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 Part B Supplier - Clinic/Group Practice (OR) |
|---|
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