Robert Beridha, PHD
NPI 1265844831ActiveIndividual· Psychologist· Flagstaff, AZ
Psychologist (PHD) in Flagstaff, Arizona, licensed in AZ and OR, with an NPI issued in May 2014. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1265844831 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | May 29, 2014 |
| Last updated in NPPES | Feb 19, 2023 |
| Certified by provider | Feb 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY-005043 | AZ |
| Psychologist | 103T00000X | — | — |
| Counselor, Mental Health | 101YM0800X | R4311 | OR |
| Psychologist, Clinical | 103TC0700X | 005043 | AZ |
| Psychologist, Group Psychotherapy | 103TP2701X | 005043 | AZ |
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 Practitioner - Clinical Psychologist (AZ) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Other Psychologist providers in Flagstaff
- 1841598059
- 1033311527
- 1932592599
- 1538029988
- 1003932898
- 1699982348
- 1023591864
- 1346853454
- 1770573743
- 1316349061
- 1780059584
- 1003749821