Dylan Alexander Corp, PHD
NPI 1124635891ActiveIndividual· Psychologist, Counseling· State College, PA
Psychologist, Counseling (PHD) in State College, Pennsylvania, licensed in PA, with an NPI issued in September 2020. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1124635891 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Sep 28, 2020 |
| Last updated in NPPES | Jul 27, 2021 |
| Certified by provider | Jul 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | PS019120 | PA |
| Psychologist | 103T00000X | PS019120 | PA |
| Psychologist, Group Psychotherapy | 103TP2701X | PS019120 | PA |
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 (PA) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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