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Sophia Jaeger-Manson, PSYD

NPI 1689200784ActiveIndividual· Psychologist, Forensic· Salem, OR

Opted out of Medicare from November 2025 to November 2027. Psychologist, Forensic (PSYD) in Salem, Oregon, licensed in OR, with an NPI issued in March 2020.

Overview

NPI1689200784
StatusActive
Entity typeIndividual
CredentialPSYD
Sole proprietorNo
NPI issuedMar 20, 2020
Last updated in NPPESMar 20, 2020
Certified by providerMar 20, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Forensic Primary103TF0200X2910OR

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
Opt-outOpted out Nov 7, 2025 – Nov 7, 2027
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

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