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Clinical Neuropsychology PC

NPI 1689058414ActiveOrganization· Psychologist, Clinical· South Bend, IN

Psychologist, Clinical in South Bend, Indiana, registered in NPPES in July 2015. The authorized official on file is Warren W. Sibilla, PH.D., Owner.

Overview

NPI1689058414
StatusActive
Entity typeOrganization
NPI issuedJul 10, 2015
Last updated in NPPESJul 10, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700X——

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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