Jeanne Susan Divincenzo, PSY.D.
NPI 1962639716ActiveIndividual· Psychologist, Clinical· Malvern, PA
Opted out of Medicare from January 2025 to January 2027. Psychologist, Clinical (PSY.D.) in Malvern, Pennsylvania, licensed in PA, with an NPI issued in June 2009.
Overview
| NPI | 1962639716 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 19, 2009 |
| Last updated in NPPES | Jan 31, 2025 |
| Certified by provider | Jan 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PS016886 | PA |
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 |
|---|---|
| Opt-out | Opted out Jan 31, 2025 – Jan 31, 2027 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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