Nathaniel James Wofford
NPI 1568220895ActiveIndividual· Psychologist, Clinical· Waco, TX
Psychologist, Clinical in Waco, Texas, licensed in WI, with an NPI issued in March 2024. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1568220895 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 11, 2024 |
| Last updated in NPPES | Apr 6, 2025 |
| Certified by provider | Apr 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 5341-57 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Clinical Psychologist (WI) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 44 clinical psychologists in Waco · All clinical psychologists in Texas