Walter J. Mickulick, M.A., MPA
NPI 1043578123ActiveIndividual· Psychologist, Forensic· Chattanooga, TN
Psychologist, Forensic (M.A., MPA) in Chattanooga, Tennessee, licensed in TN, with an NPI issued in April 2012.
Overview
| NPI | 1043578123 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., MPA |
| Sole proprietor | Yes |
| NPI issued | Apr 26, 2012 |
| Last updated in NPPES | Apr 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Forensic Primary | 103TF0200X | 7696871 | TN |
| Counselor, School | 101YS0200X | 7147485 | TN |
| Psychologist, Clinical | 103TC0700X | 7137531 | TN |
| Psychologist, School | 103TS0200X | 7147485 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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