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Mary Diane Sichi, PSYD

NPI 1104298579ActiveIndividual· Psychologist, Counseling· Corvallis, OR

Opted out of Medicare from April 2022 to April 2028. Psychologist, Counseling (PSYD) in Corvallis, Oregon, licensed in OR, with an NPI issued in October 2015.

Overview

NPI1104298579
StatusActive
Entity typeIndividual
CredentialPSYD
Sole proprietorNo
NPI issuedOct 26, 2015
Last updated in NPPESJun 18, 2026
Certified by providerJun 18, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Counseling Primary103TC1900X2787OR

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)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Apr 1, 2022 – Apr 1, 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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