Kathryn Ellen Gustafson, PH.D.
NPI 1326192642ActiveIndividual· Psychologist· Durham, NC
Psychologist (PH.D.) in Durham, North Carolina, licensed in NC, with an NPI issued in January 2007. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1326192642 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jan 23, 2007 |
| Last updated in NPPES | Mar 8, 2023 |
| Certified by provider | Mar 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1580 | NC |
| Psychologist | 103T00000X | — | — |
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 - Psychologist Billing Independently (NC) |
|---|
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