Sydney K. Greenwalt, PHD
NPI 1578305223ActiveIndividual· Psychologist· Saint Louis, MO
Psychologist (PHD) in Saint Louis, Missouri, trained at University of Missouri, Kansas City, School of Medicine (class of 2020). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1578305223 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jun 12, 2024 |
| Last updated in NPPES | Jun 12, 2024 |
| Certified by provider | Jun 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2024019727 | MO |
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 (MO) |
|---|
Education and affiliations
| Medical school | University of Missouri, Kansas City, School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Clinical Psychologist |
Medical group
- St. Louis Behavioral Medicine Institute IncSaint Louis, MO · 67 clinicians
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