David Mark Madison, MALLP
NPI 1497269609ActiveIndividual· Psychologist· Detroit, MI
Psychologist (MALLP) in Detroit, Michigan, licensed in MI, with an NPI issued in November 2017. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1497269609 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MALLP |
| Sole proprietor | Yes |
| NPI issued | Nov 27, 2017 |
| Last updated in NPPES | May 21, 2022 |
| Certified by provider | May 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6361006967 | MI |
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 Practitioner - Psychologist Billing Independently (MI) |
|---|
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