North Bay Psychology
NPI 1740556489ActiveOrganization· Psychologist, Clinical· Napa, CA
Psychologist, Clinical in Napa, California, registered in NPPES in March 2012. The authorized official on file is Pamela Meghan Tiedemann-Fuller, PHD, Licensed Clinical Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740556489 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2012 |
| Last updated in NPPES | Mar 27, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY23513 | CA |
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 (CA) |
|---|
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