Tanner Mitchell Nielsen, PSYD
NPI 1346574464ActiveIndividual· Psychologist, Clinical· Idaho Falls, ID
Psychologist, Clinical (PSYD) in Idaho Falls, Idaho, licensed in ID, with an NPI issued in September 2009. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1346574464 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Sep 22, 2009 |
| Last updated in NPPES | Jun 18, 2026 |
| Certified by provider | Jun 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY-203073 | ID |
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 (ID) |
|---|
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