William David Petok, PH.D.
NPI 1275607764ActiveIndividual· Psychologist· Severna Park, MD
Psychologist (PH.D.) in Severna Park, Maryland, licensed in MD, with an NPI issued in November 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1275607764 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Nov 17, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1349 | MD |
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 (MD) |
|---|
Education and affiliations
| Graduation year | 1978 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Other Psychologist providers in Severna Park
- 1659416899
- 1124322185
- 1952133787
- 1043385925
- 1942250766
- 1114145729
- 1861889826
- 1982779674
- 1396805636
- 1982761011
- 1447332093
- 1073639100