Jenell L. Holstead, PH.D., NCSP
NPI 1801477377ActiveIndividual· Psychologist, School· Green Bay, WI
Psychologist, School (PH.D., NCSP) in Green Bay, Wisconsin, with an NPI issued in April 2021. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1801477377 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., NCSP |
| Sole proprietor | Yes |
| NPI issued | Apr 16, 2021 |
| Last updated in NPPES | Apr 16, 2021 |
| Certified by provider | Apr 16, 2021 |
Specialties and licenses
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 Practitioner - Clinical Psychologist (WI) |
|---|
Other Psychologist, School providers in Green Bay
- 1114596921
- 1538976444