Lighthouse Clinic Ltd
NPI 1912216219ActiveOrganization· Psychologist· Milwaukee, WI
Psychologist in Milwaukee, Wisconsin, registered in NPPES in October 2010. The authorized official on file is Paula Tudorof, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912216219 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2010 |
| Last updated in NPPES | Oct 14, 2026 |
| Certified by provider | Oct 14, 2026 |
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 Part B Supplier - Clinic/Group Practice (WI) |
|---|
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