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Andrea K. Dughoff, PH.D.

NPI 1053721886ActiveIndividual· Psychologist· Boise, ID

Opted out of Medicare from June 2026 to June 2028. Psychologist (PH.D.) in Boise, Idaho, licensed in AZ and NC, with an NPI issued in May 2014.

Overview

NPI1053721886
StatusActive
Entity typeIndividual
CredentialPH.D.
Sole proprietorNo
NPI issuedMay 1, 2014
Last updated in NPPESSep 29, 2023
Certified by providerSep 28, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X4692AZ
Psychologist, Clinical103TC0700X5882NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jun 18, 2026 – Jun 18, 2028
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

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