Jennifer K. Carlson, PHD
NPI 1386192177ActiveIndividual· Psychologist· Gilbert, AZ
Psychologist (PHD) in Gilbert, Arizona, licensed in CO, IL and AZ, with an NPI issued in September 2016.
Overview
| NPI | 1386192177 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Sep 21, 2016 |
| Last updated in NPPES | Aug 5, 2026 |
| Certified by provider | Aug 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY.0006727 | CO |
| Behavior Analyst | 103K00000X | — | — |
| Psychologist, Clinical | 103TC0700X | 071.009836 | IL |
| Psychologist, Clinical | 103TC0700X | PSY-005907 | AZ |
| Psychologist | 103T00000X | PSY-005907 | AZ |
| Psychologist | 103T00000X | 071.009836 | IL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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