Priscilla Roth-Wall, PH.D.
NPI 1457386963ActiveIndividual· Psychologist, Clinical· Farmington, NM
Psychologist, Clinical (PH.D.) in Farmington, New Mexico, licensed in NM, with an NPI issued in July 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1457386963 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 12, 2006 |
| Last updated in NPPES | Apr 30, 2020 |
| Certified by provider | Apr 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY1470 | NM |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | PSY1470 | NM |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | PSY1470 | NM |
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 (NM) |
|---|
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