The Telos Project
NPI 1457893232ActiveOrganization· Psychologist, Clinical· Fort Worth, TX
Psychologist, Clinical in Fort Worth, Texas, registered in NPPES in November 2016. The authorized official on file is Anthony Bean, PHD, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457893232 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2016 |
| Last updated in NPPES | Nov 1, 2023 |
| Certified by provider | Nov 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Psychologist | 103T00000X | — | — |
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 (TX) |
|---|
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