Jared Thomas John, PSY
NPI 1164300778ActiveIndividual· Psychologist, School· Idaho Falls, ID
Psychologist, School (PSY) in Idaho Falls, Idaho, licensed in ID, with an NPI issued in August 2025. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1164300778 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY |
| Sole proprietor | No |
| NPI issued | Aug 22, 2025 |
| Last updated in NPPES | Sep 12, 2025 |
| Certified by provider | Sep 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, School Primary | 103TS0200X | PSY-9671673 | ID |
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) | Enrolled Practitioner - Clinical Psychologist (ID) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Other Psychologist, School providers in Idaho Falls
- 1184234411