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Jaime Bercuson, M.A., PSY.D.

NPI 1932332012ActiveIndividual· Psychologist, Clinical· Park City, UT

Psychologist, Clinical (M.A., PSY.D.) in Park City, Utah, licensed in UT, CA and FL, with an NPI issued in August 2009.

Overview

NPI1932332012
StatusActive
Entity typeIndividual
CredentialM.A., PSY.D.
Sole proprietorYes
NPI issuedAug 24, 2009
Last updated in NPPESNov 10, 2020
Certified by providerNov 10, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700X10389140-2501UT
Psychologist, Clinical103TC0700XPSY26093CA
Psychologist, Clinical103TC0700XPY8969FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other clinical psychologists in Park City

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