Dominic Richard Prime, PHD
NPI 1972027852ActiveIndividual· Psychologist· Sherwood, OR
Psychologist (PHD) in Sherwood, Oregon, licensed in CA and OR, with an NPI issued in August 2017. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1972027852 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Aug 1, 2017 |
| Last updated in NPPES | Dec 29, 2021 |
| Certified by provider | Apr 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 30305 | CA |
| Psychologist | 103T00000X | 3023 | OR |
| Psychologist | 103T00000X | — | — |
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 Practitioner - Clinical Psychologist (CA) |
|---|
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