Patricia Suzanne Alsup, PH.D.
NPI 1154349140ActiveIndividual· Psychologist· Petaluma, CA
Psychologist (PH.D.) in Petaluma, California, licensed in CA, with an NPI issued in July 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1154349140 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 17, 2006 |
| Last updated in NPPES | Jul 28, 2022 |
| Certified by provider | Aug 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY12124 | CA |
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 (CA) |
|---|
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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All 24 psychologists in Petaluma · All psychologists in California