David Gregory St. John, PHD, LP
NPI 1760400774ActiveIndividual· Psychologist· Ferndale, MI
Psychologist (PHD, LP) with Fairsky Foundation, practicing in Ferndale, Michigan. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1760400774 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, LP |
| Sole proprietor | No |
| NPI issued | Jul 17, 2006 |
| Last updated in NPPES | Mar 14, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6301012887 | 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 - Clinical Psychologist (MI) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Fairsky FoundationFerndale, MI · 9 clinicians
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