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Shelby Bullock, SCHOOL PSYCHOLOGY

NPI 1770111668ActiveIndividual· Psychologist, School· Springdale, AR

Psychologist, School (SCHOOL PSYCHOLOGY) in Springdale, Arkansas, with an NPI issued in March 2020.

Overview

NPI1770111668
StatusActive
Entity typeIndividual
CredentialSCHOOL PSYCHOLOGY
Sole proprietorYes
NPI issuedMar 28, 2020
Last updated in NPPESMar 28, 2020
Certified by providerMar 28, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, School Primary103TS0200X—AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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