Lisa G. Bridgewater, PH.D. PA
NPI 1699105882ActiveOrganization· Psychologist· Rock Hill, SC
Psychologist in Rock Hill, South Carolina, registered in NPPES in November 2013. The authorized official on file is Lisa Bridgewater, PH.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699105882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 25, 2013 |
| Last updated in NPPES | Nov 25, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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