Board of Trustees of the University of Illinois
NPI 1104401454ActiveOrganization· Psychologist· Champaign, IL
Psychologist in Champaign, Illinois, registered in NPPES in March 2021, part of Board of Trustees of the University of Illinois. The authorized official on file is Avijit Ghosh, Comptroller.
Overview
| NPI | 1104401454 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Board of Trustees of the University of Illinois |
| NPI issued | Mar 17, 2021 |
| Last updated in NPPES | Mar 17, 2021 |
| Certified by provider | Mar 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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