Drg Clinical, SC
NPI 1255048633ActiveOrganization· Psychiatry & Neurology, Psychiatry· Weston, WI
Psychiatry & Neurology, Psychiatry in Weston, Wisconsin, registered in NPPES in November 2022. The authorized official on file is Robert Gouthro, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255048633 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2022 |
| Last updated in NPPES | Jul 21, 2025 |
| Certified by provider | Jul 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (WI) |
|---|
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