Jamie L. Wasilewski, PHD
NPI 1083717490ActiveIndividual· Psychologist, Clinical· Springfield, IL
Psychologist, Clinical (PHD) with Siu Physicians and Surgeons Inc, practicing in Springfield, Illinois. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1083717490 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Aug 11, 2022 |
| Certified by provider | Aug 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071.010808 | IL |
| Psychologist | 103T00000X | 1535 | OR |
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) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Siu Physicians and Surgeons IncSpringfield, IL · 314 clinicians
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