Mark Philo Short, PSY.D.
NPI 1124291778ActiveIndividual· Psychologist, School· Las Vegas, NV
Psychologist, School (PSY.D.) in Las Vegas, Nevada, licensed in NV, with an NPI issued in April 2008. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1124291778 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 3, 2008 |
| Last updated in NPPES | Aug 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, School Primary | 103TS0200X | — | — |
| Psychologist, Clinical | 103TC0700X | PY0780 | NV |
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) | Enrolled Practitioner - Clinical Psychologist (NV) |
|---|
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