Nourish2flourish Psychology, LLC
NPI 1053067124ActiveOrganization· Psychologist, Clinical· Bloomington, IN
Psychologist, Clinical in Bloomington, Indiana, registered in NPPES in February 2022. The authorized official on file is Amanda Roth, PSY.D., Clinical Psychologist Owner.
Overview
| NPI | 1053067124 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2022 |
| Last updated in NPPES | May 25, 2023 |
| Certified by provider | May 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
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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