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NPI 1912995143ActiveOrganization· Psychologist· San Jose, CA

Psychologist in San Jose, California, registered in NPPES in October 2005. The authorized official on file is Richard F. Hill, PH.D., Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1912995143
StatusActive
Entity typeOrganization
NPI issuedOct 12, 2005
Last updated in NPPESMay 5, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XPSY20326CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (CA)

Medicare sources and data years

Other Psychologist providers in San Jose

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