Xander Lodge, Ma, PLC
NPI 1255053930ActiveOrganization· Psychologist· Williston, VT
Psychologist in Williston, Vermont, registered in NPPES in September 2022. The authorized official on file is Alexander Lodge, MA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255053930 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2022 |
| Last updated in NPPES | Jun 17, 2024 |
| Certified by provider | Jun 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (VT) |
|---|
Other Psychologist providers in Williston
- 1851809099
- 1326401670
- 1407375900
- 1164180550
- 1295910206
- 1861556672
- 1104004274
- 1497703508
- 1720700404
- 1689639742
- 1003073644
- 1902161698