Conway Psychological Assessment Center
NPI 1255697330ActiveOrganization· Psychologist· Conway, AR
Psychologist in Conway, Arkansas, registered in NPPES in April 2012. The authorized official on file is Kim Dielmann, PH.D., Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255697330 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2012 |
| Last updated in NPPES | Apr 3, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 07-27P | AR |
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 (AR) |
|---|
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