Samuel Thomas Gontkovsky, PSY.D.
NPI 1801954920ActiveIndividual· Psychologist, Clinical· Chillicothe, OH
Psychologist, Clinical (PSY.D.) in Chillicothe, Ohio, licensed in OH, with an NPI issued in December 2006. Medicare paid $5,077 for services to 16 patients in 2024.
Overview
| NPI | 1801954920 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Dec 4, 2006 |
| Last updated in NPPES | Oct 1, 2026 |
| Certified by provider | Oct 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | P.7285 | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 75 across 9 procedure codes |
| Paid by Medicare | $5,077 |
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