Gregory Van Dam, Psy.D. LLC
NPI 1689922528ActiveOrganization· Psychologist, Clinical· Winter Park, FL
Psychologist, Clinical in Winter Park, Florida, registered in NPPES in August 2012. The authorized official on file is Gregory Van Dam, PSY.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689922528 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2012 |
| Last updated in NPPES | Apr 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY 8572 | FL |
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 (FL) |
|---|
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