Roger H. Belisle, PH.D.
NPI 1396047270ActiveIndividual· Psychologist, Forensic· Ellsworth Afb, SD
Psychologist, Forensic (PH.D.) in Ellsworth Afb, South Dakota, licensed in SD, VA and TX, with an NPI issued in November 2010.
Overview
| NPI | 1396047270 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Nov 24, 2010 |
| Last updated in NPPES | Jul 25, 2023 |
| Certified by provider | Jul 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Forensic Primary | 103TF0200X | — | — |
| Psychologist, Clinical | 103TC0700X | 577 | SD |
| Psychologist, Clinical | 103TC0700X | 0810004580 | VA |
| Psychologist, Clinical | 103TC0700X | 36625 | TX |
| Psychologist, Forensic | 103TF0200X | 577 | — |
| Psychologist, Forensic | 103TF0200X | 0810004580 | VA |
| Psychologist, Forensic | 103TF0200X | 36625 | TX |
| Psychologist, Forensic | 103TF0200X | 577 | SD |
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 |
|---|