Geriatric Psychology Affiliates LLC
NPI 1417483421ActiveOrganization· Psychologist, Clinical· Shelbyville, TN
Psychologist, Clinical in Shelbyville, Tennessee, registered in NPPES in May 2017. The authorized official on file is Lisa North, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1417483421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2017 |
| Last updated in NPPES | May 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
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 (KY); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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