St Marys Medical Group, LLC
NPI 1952750606ActiveOrganization· Psychologist, Clinical· Evansville, IN
Psychologist, Clinical in Evansville, Indiana, registered in NPPES in June 2016. The authorized official on file is William J. Millikan, MD, Ceo.
Overview
| NPI | 1952750606 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 3, 2016 |
| Last updated in NPPES | Jun 29, 2020 |
| Certified by provider | Jun 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | IN |
| Psychologist | 103T00000X | — | IN |
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 |
|---|
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