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Jessica Detrick

NPI 1598491193ActiveIndividual· Psychologist· Baltimore, MD

Opted out of Medicare from September 2026 to September 2028. Psychologist in Baltimore, Maryland, licensed in MD, with an NPI issued in July 2022.

Overview

NPI1598491193
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 26, 2022
Last updated in NPPESSep 6, 2026
Certified by providerSep 6, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X07570MD
Behavior Analyst103K00000X1-19-37610MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Sep 2, 2026 – Sep 2, 2028
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

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