Port of Crow Wing County, Inc
NPI 1205904612ActiveOrganization· Psychologist, Cognitive & Behavioral· Little Falls, MN
Psychologist, Cognitive & Behavioral in Little Falls, Minnesota, registered in NPPES in December 2006. The authorized official on file is Amy Haider, Credentialing Manager.
Overview
| NPI | 1205904612 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 1, 2006 |
| Last updated in NPPES | May 20, 2022 |
| Certified by provider | May 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Cognitive & Behavioral Primary | 103TB0200X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|