Wellspring Psychology Group LLC
NPI 1255756565ActiveOrganization· Psychologist, Clinical· Florence, SC
Psychologist, Clinical in Florence, South Carolina, registered in NPPES in February 2014. The authorized official on file is Jason Dean Anderson, PSYD, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255756565 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2014 |
| Last updated in NPPES | Feb 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 1073 | SC |
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 (SC) |
|---|
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