Lydia Jean Haker
NPI 1245759190ActiveIndividual· Psychologist, Clinical· De Pere, WI
Psychologist, Clinical with County of Door-Door County Library, practicing in De Pere, Wisconsin. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - mental health counselor.
Overview
| NPI | 1245759190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 12, 2017 |
| Last updated in NPPES | Jun 12, 2024 |
| Certified by provider | Jun 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 5213-17 | WI |
| Counselor, Professional | 101YP2500X | 3537-226 | WI |
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 (WI); Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- County of Door-Door County LibrarySturgeon Bay, WI · 4 clinicians
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