Psychological Associates LLC
NPI 1770802886ActiveOrganization· Psychologist· Bridgeport, CT
Psychologist in Bridgeport, Connecticut, registered in NPPES in May 2010. The authorized official on file is Robert Matefy, PH.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770802886 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2010 |
| Last updated in NPPES | Aug 31, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
| Social Worker | 104100000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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