Dmitry Meyerson, Ph. D., LLC
NPI 1639836117ActiveOrganization· Psychologist, Clinical· Warwick, RI
Psychologist, Clinical in Warwick, Rhode Island, registered in NPPES in November 2021. The authorized official on file is Dmitry Meyerson, PH. D., Ceo/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639836117 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2021 |
| Last updated in NPPES | Nov 19, 2021 |
| Certified by provider | Oct 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Clinical Neuropsychologist | 103G00000X | — | — |
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 (RI) |
|---|
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