Evidence Based Consultation LLC Ebc
NPI 1639783574ActiveOrganization· Psychologist, Clinical· Ashburn, VA
Psychologist, Clinical in Ashburn, Virginia, registered in NPPES in September 2020, part of Self Knowledge Base and Foundation. The authorized official on file is Michelle R. Rad, LCP, PSYD, MA, APIT, Founder, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639783574 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Self Knowledge Base and Foundation |
| NPI issued | Sep 8, 2020 |
| Last updated in NPPES | May 18, 2026 |
| Certified by provider | May 18, 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) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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