Jill Cherie Fodstad, PHD, HSPP
NPI 1710237458ActiveIndividual· Psychologist· Indianapolis, IN
Psychologist (PHD, HSPP) with Iu Health Medical Group LLC and 1 other group, practicing in Indianapolis, Indiana. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1710237458 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, HSPP |
| Sole proprietor | No |
| NPI issued | Sep 10, 2012 |
| Last updated in NPPES | Jan 21, 2021 |
| Certified by provider | Jan 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 20042696A | IN |
| Psychologist | 103T00000X | 05202 | MD |
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 (IN) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical groups
- Iu Health Medical Group LLCIndianapolis, IN · 4,462 clinicians
- Iu Health Medical Group Riley Specialists LLCIndianapolis, IN · 302 clinicians
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