Jeremy B. Roark, PH.D.
NPI 1578860193ActiveIndividual· Psychologist· Ada, MI
Psychologist (PH.D.) in Ada, Michigan, licensed in CA, with an NPI issued in February 2011.
Overview
| NPI | 1578860193 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Feb 16, 2011 |
| Last updated in NPPES | Feb 1, 2024 |
| Certified by provider | Feb 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY 24012 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist providers in Ada
- 1508999277
- 1902841968
- 1679602361
- 1548393283
- 1568608230
- 1699904193
- 1063931749
- 1083719090
- 1932752235
- 1639235989