Andrea Kirk, PH. D
NPI 1760939318ActiveIndividual· Psychologist· Sebastopol, CA
Psychologist (PH. D) in Sebastopol, California, with an NPI issued in September 2016. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1760939318 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH. D |
| Sole proprietor | No |
| NPI issued | Sep 1, 2016 |
| Last updated in NPPES | Feb 20, 2024 |
| Certified by provider | Feb 20, 2024 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Other Psychologist providers in Sebastopol
- 1114100500
- 1205966728
- 1376204602
- 1326130576
- 1962791640
- 1740856608
- 1093087637
- 1376628255
- 1306962659
- 1790815371
- 1902824386
- 1548554439