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Suepepi Kleinwaksmedcalf, PHD

NPI 1609229996ActiveIndividual· Psychologist, Counseling· Berkeley, CA

Psychologist, Counseling (PHD) in Berkeley, California, with an NPI issued in July 2016.

Overview

NPI1609229996
StatusActive
Entity typeIndividual
CredentialPHD
Sole proprietorYes
NPI issuedJul 21, 2016
Last updated in NPPESJul 21, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Counseling Primary103TC1900X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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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