Rebecca Smolak-Kettlehake Psy D LLC
NPI 1497134100ActiveOrganization· Psychologist, Clinical· Newark, DE
Psychologist, Clinical in Newark, Delaware, registered in NPPES in May 2015. The authorized official on file is Rebecca Ann Smolak-Kettlehake, PSY.D., Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497134100 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2015 |
| Last updated in NPPES | May 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | B1-0000893 | DE |
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 (DE) |
|---|
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