Jeanine R. Standard, PH D LCPC
NPI 1790888311ActiveIndividual· Psychologist· Peoria, IL
Psychologist (PH D LCPC) in Peoria, Illinois, with an NPI issued in September 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1790888311 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH D LCPC |
| Sole proprietor | No |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Dec 2, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
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 (IL) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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