Valery R. Bodziony, PHD
NPI 1316787104ActiveIndividual· Psychologist· Crestview Hills, KY
Psychologist (PHD) with Summit Medical Group Inc, practicing in Crestview Hills, Kentucky. Enrolled in Medicare as practitioner - other (non-physician).
Overview
| NPI | 1316787104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | May 29, 2024 |
| Last updated in NPPES | Oct 15, 2024 |
| Certified by provider | Oct 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 295548 | KY |
| Psychologist | 103T00000X | P.08697 | OH |
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 - Other (Non-Physician) (KY) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Undefined Non-Physician Type (Specify) |
| Telehealth | Offers telehealth |
Medical group
- Summit Medical Group IncCrittenden, KY · 807 clinicians
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