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Family Mental Health

NPI 1144899170ActiveOrganization· Psychologist· St George, UT

Psychologist in St George, Utah, registered in NPPES in June 2021. The authorized official on file is Austin Kyle Elder, PHD, Licensed Clinical Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1144899170
StatusActive
Entity typeOrganization
NPI issuedJun 23, 2021
Last updated in NPPESJul 25, 2024
Certified by providerJul 25, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

Other Psychologist providers in St George

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