Individualized Psychological Services
NPI 1891260006ActiveOrganization· Psychologist, Clinical· Baltimore, MD
Psychologist, Clinical in Baltimore, Maryland, registered in NPPES in October 2018. The authorized official on file is Yaakov Shugarman, PSY.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891260006 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2018 |
| Last updated in NPPES | Jul 16, 2020 |
| Certified by provider | Jul 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
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 (MD) |
|---|
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