Actualized Clinical Services Consulting, Inc.
NPI 1205050903ActiveOrganization· Psychologist, Clinical· Elm Grove, WI
Psychologist, Clinical in Elm Grove, Wisconsin, registered in NPPES in April 2007. The authorized official on file is Angela Christina Stanley, PSY.D., Owner & President.
Overview
| NPI | 1205050903 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2007 |
| Last updated in NPPES | Jan 9, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 930 | WV |
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 |
|---|
Other Psychologist, Clinical providers in Elm Grove
- 1164307898
- 1124199609
- 1689898272
- 1750151189
- 1023062528
- 1902098205
- 1538276720
- 1952463002
- 1568452423
- 1669489167
- 1336224989
- 1861371031