Collaborative Psychology Group, A Professional Corporation
NPI 1336532340ActiveOrganization· Psychologist, Clinical· Riverside, CA
Psychologist, Clinical in Riverside, California, registered in NPPES in March 2015. The authorized official on file is Tanika Gayle, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336532340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2015 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Psychologist, Clinical | 103TC0700X | PSY 23903 | CA |
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 Part B Supplier - Clinic/Group Practice (CA) |
|---|
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