Jacqueline Camp, PH.D.
NPI 1336415637ActiveIndividual· Psychologist· Raleigh, NC
Psychologist (PH.D.) with Reflect Professional Counseling and Psychological Services, practicing in Raleigh, North Carolina. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1336415637 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Mar 30, 2012 |
| Last updated in NPPES | Feb 5, 2021 |
| Certified by provider | Feb 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 5082 | NC |
| Psychologist | 103T00000X | 20042737A | IN |
| Psychologist, Clinical | 103TC0700X | 20042737A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NC) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Reflect Professional Counseling and Psychological ServicesRaleigh, NC · 2 clinicians
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