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NPI 1598996076ActiveOrganization· Psychologist, Cognitive & Behavioral· Pine Bluff, AR

Psychologist, Cognitive & Behavioral in Pine Bluff, Arkansas, registered in NPPES in August 2009. The authorized official on file is Geneva Clark, B.S. SOCIAL & BEHAVI, Coordinator.

Overview

NPI1598996076
StatusActive
Entity typeOrganization
NPI issuedAug 2, 2009
Last updated in NPPESAug 2, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Cognitive & Behavioral Primary103TB0200X——

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

Medicare sources and data years

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