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Shelly Lynn Komondoros, PH.D.

NPI 1073800777ActiveIndividual· Psychologist, Clinical· Oshkosh, WI

Psychologist, Clinical (PH.D.) with Meriter Hospital Inc, practicing in Oshkosh, Wisconsin. Medicare paid $5,680 for services to 55 patients in 2024. Lists Unitypoint Health - Meriter and 1 other hospital as hospital affiliations.

Overview

NPI1073800777
StatusActive
Entity typeIndividual
CredentialPH.D.
Sole proprietorNo
NPI issuedJul 1, 2011
Last updated in NPPESNov 15, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700X3138-57WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients55
Services billed57 across 2 procedure codes
Paid by Medicare$5,680

Medicare sources and data years

Education and affiliations

Graduation year2012
Medicare specialtyClinical Psychologist

Medical group

Hospital affiliations

Source: CMS Care Compare

Other clinical psychologists in Oshkosh

All clinical psychologists in Wisconsin