Emerald Wellness Center PLLC
NPI 1609781764ActiveOrganization· Psychologist, Clinical· Troy, MI
Psychologist, Clinical in Troy, Michigan, registered in NPPES in August 2026. The authorized official on file is Samantha Blair Holman, LLP, Limited Licensed Psychologist.
Overview
| NPI | 1609781764 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2026 |
| Last updated in NPPES | Aug 14, 2026 |
| Certified by provider | Aug 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
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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