Michelyn Devine, PSY.D.
NPI 1841319225ActiveIndividual· Psychologist, Clinical· Shelley, ID
Psychologist, Clinical (PSY.D.) with 4 Pillars of Success LLC, practicing in Shelley, Idaho. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1841319225 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Aug 15, 2025 |
| Certified by provider | Aug 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY-203569 | ID |
| Psychologist, Clinical | 103TC0700X | PSY17294 | CA |
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 (ID) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- 4 Pillars of Success LLCAmmon, ID · 18 clinicians
Other clinical psychologists in Shelley
- 1942090865