Behavioral Psychology Clinic, PC
NPI 1063530301ActiveOrganization· Psychologist· Dallas, TX
Psychologist in Dallas, Texas, registered in NPPES in March 2007. The authorized official on file is Jesse C. Ingram, PH.D., Licensed Psyhologist Ceo.
Overview
| NPI | 1063530301 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2007 |
| Last updated in NPPES | Jul 21, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2-3078 | TX |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 2-3078 | TX |
| Psychologist, Clinical | 103TC0700X | 2-3078 | TX |
| Psychologist, Counseling | 103TC1900X | 2-3078 | TX |
| Psychologist, Rehabilitation | 103TR0400X | 2-3078 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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