Wellspring Child and Family Psychology, PC
NPI 1477962421ActiveOrganization· Psychologist, Clinical· Fredericksburg, VA
Psychologist, Clinical in Fredericksburg, Virginia, registered in NPPES in August 2014. The authorized official on file is Elisabeth Margaret Jerome, PH.D., Director/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477962421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2014 |
| Last updated in NPPES | Jan 7, 2022 |
| Certified by provider | Jan 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 0810004284 | VA |
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 (VA) |
|---|
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