Banana Slug Psychological Services LLC
NPI 1154233724ActiveOrganization· Psychologist, Clinical· Portland, OR
Psychologist, Clinical in Portland, Oregon, registered in NPPES in September 2026. The authorized official on file is Tupelo Keilly Witte, PSYD, Clinical Psychologist.
Overview
| NPI | 1154233724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2026 |
| Last updated in NPPES | Sep 18, 2026 |
| Certified by provider | Sep 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
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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