Magnum Peterson, EDS
NPI 1922722354ActiveIndividual· Psychologist, School· Red Oak, IA
Psychologist, School (EDS) in Red Oak, Iowa, licensed in NC, with an NPI issued in September 2022.
Overview
| NPI | 1922722354 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | EDS |
| Sole proprietor | Yes |
| NPI issued | Sep 29, 2022 |
| Last updated in NPPES | Sep 29, 2022 |
| Certified by provider | Sep 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, School Primary | 103TS0200X | 1196254 | NC |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|