Main Street Clinical Associates, PA
NPI 1922035260ActiveOrganization· Psychologist· Durham, NC
Psychologist in Durham, North Carolina, registered in NPPES in June 2006. The authorized official on file is Shannon Van Wey, PHD, Treasurer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922035260 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2006 |
| Last updated in NPPES | Jul 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
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 (NC) |
|---|
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