Bernaqdine Ann Petzold
NPI 1699072793ActiveIndividual· Psychologist· Royal Oak, MI
Psychologist in Royal Oak, Michigan, licensed in MI, with an NPI issued in February 2011. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1699072793 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 25, 2011 |
| Last updated in NPPES | Feb 25, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6401005086 | MI |
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 Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Graduation year | 1981 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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