Earl Clare Thorndyke III, PH.D
NPI 1184154726ActiveIndividual· Clinical Neuropsychologist· Los Angeles, CA
Clinical Neuropsychologist (PH.D) in Los Angeles, California, trained at Loma Linda University School of Medicine (class of 2015). Medicare paid $164,809 for services to 328 patients in 2024.
Overview
| NPI | 1184154726 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | No |
| NPI issued | Jun 15, 2017 |
| Last updated in NPPES | May 31, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | PSY29166 | 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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 328 |
|---|---|
| Services billed | 2,839 across 7 procedure codes |
| Paid by Medicare | $164,809 |
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Executive Mental Health, IncLos Angeles, CA · 47 clinicians
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