Jamie Leigh Bustamante, PHD
NPI 1982097127ActiveIndividual· Psychologist, Counseling· Salt Lake City, UT
Psychologist, Counseling (PHD) in Salt Lake City, Utah, licensed in UT and AZ, with an NPI issued in March 2015. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1982097127 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Mar 12, 2015 |
| Last updated in NPPES | Aug 9, 2023 |
| Certified by provider | Aug 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 102501922501 | UT |
| Psychologist | 103T00000X | 4602 | AZ |
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 (UT) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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