Aberdeen Group LLC
NPI 1124302237ActiveOrganization· Psychologist· Fort Wayne, IN
Psychologist in Fort Wayne, Indiana, registered in NPPES in October 2011. The authorized official on file is Thomas Dettmer, PSY.D. HSPP, Psy.D. Hspp/ Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124302237 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2011 |
| Last updated in NPPES | Mar 25, 2024 |
| Certified by provider | Mar 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (IN) |
|---|
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