Sebastian James Bliss, PHD
NPI 1992274914ActiveIndividual· Psychologist, Clinical· Brockton, MA
Psychologist, Clinical (PHD) in Brockton, Massachusetts, licensed in NY and TX, with an NPI issued in November 2018. Enrolled in Medicare as order and referring only - clinical psychologist.
Overview
| NPI | 1992274914 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Nov 20, 2018 |
| Last updated in NPPES | Oct 16, 2020 |
| Certified by provider | Oct 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 023720 | NY |
| Psychologist, Clinical | 103TC0700X | 38389 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Enrolled Order and Referring Only - Clinical Psychologist (TX) |
|---|
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