Chestnut Park Professionals, LLC
NPI 1265574396ActiveOrganization· Psychologist· Bowling Green, KY
Psychologist in Bowling Green, Kentucky, registered in NPPES in February 2007. The authorized official on file is Corrie J. Vos, PH.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265574396 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2007 |
| Last updated in NPPES | Apr 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 0670 | KY |
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 (KY) |
|---|
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