Sitara Shanmugam, PSYD
NPI 1699520866ActiveIndividual· Clinical Neuropsychologist· Elkins Park, PA
Clinical Neuropsychologist (PSYD) in Elkins Park, Pennsylvania, trained at Philadelphia College of Osteopathic Medicine (class of 2020). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1699520866 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Apr 22, 2024 |
| Last updated in NPPES | Mar 31, 2026 |
| Certified by provider | Mar 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | PS019849 | PA |
| Psychologist, Clinical | 103TC0700X | PS019849 | PA |
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 - Clinical Psychologist (PA) |
|---|
Education and affiliations
| Medical school | Philadelphia College of Osteopathic Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Clinical Psychologist |
Medical groups
- Delaware County Professional Services, IncKing Of Prussia, PA · 287 clinicians
- Albert Einstein Medical CenterPhiladelphia, PA · 4 clinicians
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