Holistic Psychiatry PC
NPI 1316778855ActiveOrganization· Physician Assistant· Urbandale, IA
Physician Assistant in Urbandale, Iowa, registered in NPPES in August 2024. The authorized official on file is Jayson Gesulga, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316778855 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2024 |
| Last updated in NPPES | Sep 26, 2024 |
| Certified by provider | Sep 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 (IA) |
|---|
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