George V. Komaridis, PH.D.. LP
NPI 1124297213ActiveIndividual· Psychologist, Clinical· Mankato, MN
Psychologist, Clinical (PH.D.. LP) in Mankato, Minnesota, trained at University of Nebraska College of Medicine (class of 1969). Medicare paid $18,304 for services to 19 patients in 2024.
Overview
| NPI | 1124297213 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D.. LP |
| Sole proprietor | Yes |
| NPI issued | Feb 22, 2008 |
| Last updated in NPPES | Nov 29, 2023 |
| Certified by provider | Nov 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP1673 | MN |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 168 across 4 procedure codes |
| Paid by Medicare | $18,304 |
Education and affiliations
| Medical school | University of Nebraska College of Medicine |
|---|---|
| Graduation year | 1969 |
| Medicare specialty | Clinical Psychologist |
Medical group
- Addictions and Stress Clinics LtdMankato, MN · 4 clinicians
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All 25 clinical psychologists in Mankato · All clinical psychologists in Minnesota