Actualize Psychological Services Inc
NPI 1154154060ActiveOrganization· Psychologist, School· Rancho Cucamonga, CA
Psychologist, School in Rancho Cucamonga, California, registered in NPPES in August 2024. The authorized official on file is Nicole Cheri Olson, LEP, Owner.
Overview
| NPI | 1154154060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2024 |
| Last updated in NPPES | Aug 26, 2024 |
| Certified by provider | Aug 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, School Primary | 103TS0200X | — | — |
| Behavior Analyst | 103K00000X | — | — |
| Clinic/Center, Hearing and Speech | 261QH0700X | — | — |
| Clinic/Center, Occupational Medicine | 261QX0100X | — | — |
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 |
|---|
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