Aegis Psychological Consulting LLC
NPI 1164703047ActiveOrganization· Psychologist· Jacksonville, TX
Psychologist in Jacksonville, Texas, registered in NPPES in September 2011. The authorized official on file is Nikolaos Kombos, PH.D., Clinical Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164703047 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2011 |
| Last updated in NPPES | May 1, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 23624 | TX |
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 Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Psychologist providers in Jacksonville
- 1497759237
- 1386852408