Jeannette Bolte, PH.D, PLLC
NPI 1598321721ActiveOrganization· Clinic/Center· Gulfport, MS
Clinic/Center in Gulfport, Mississippi, registered in NPPES in May 2019. The authorized official on file is Jeannette Bolte, PH.D, Owner/Provider.
Overview
| NPI | 1598321721 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2019 |
| Last updated in NPPES | Jan 16, 2021 |
| Certified by provider | Jan 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Psychologist | 103T00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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