Jackie Soul Catering LLC
NPI 1124935200ActiveOrganization· Psychologist, Forensic· Irvington, NJ
Psychologist, Forensic in Irvington, New Jersey, registered in NPPES in August 2026. The authorized official on file is Harquan Maurice Williams, Owner.
Overview
| NPI | 1124935200 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2026 |
| Last updated in NPPES | Aug 25, 2026 |
| Certified by provider | Aug 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Forensic Primary | 103TF0200X | — | — |
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 |
|---|