Nicholas Dale Fogleman, PHD
NPI 1205593332ActiveIndividual· Psychologist· Carrboro, NC
Psychologist (PHD) in Carrboro, North Carolina, licensed in NC, with an NPI issued in November 2021. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1205593332 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Nov 23, 2021 |
| Last updated in NPPES | Feb 21, 2022 |
| Certified by provider | Feb 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 103414 | NC |
| Psychologist, Clinical | 103TC0700X | 103414 | NC |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 103414 | NC |
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 (NC) |
|---|
Other Psychologist providers in Carrboro
- 1649123068
- 1285938423
- 1225216468
- 1467762401
- 1790235836
- 1124495205
- 1730797481
- 1245489889
- 1184752263
- 1851392203
- 1104779529