Privia Medical Group, LLC
NPI 1689262891ActiveOrganization· Psychologist· Rockville, MD
Psychologist in Rockville, Maryland, registered in NPPES in January 2021. The authorized official on file is Courtney Ainsworth Ivess, Associate Director.
Overview
| NPI | 1689262891 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2021 |
| Last updated in NPPES | Jan 4, 2021 |
| Certified by provider | Jan 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
| Psychologist, Counseling | 103TC1900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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