Cathy A. Bofetta, PSY.D
NPI 1437234002ActiveIndividual· Psychologist, Clinical· Nevada, MO
Psychologist, Clinical (PSY.D) in Nevada, Missouri, licensed in MO and KS, with an NPI issued in October 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1437234002 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Oct 10, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2004013225 | MO |
| Psychologist, Clinical | 103TC0700X | 1243 | KS |
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) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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