Dr. O. M. Custer, Ed.D.

Psychologist, Clinical in Ione, CA. Individual provider (NPI-1).

NPI number1134598295

StatusActive

Last updated in NPPESSep 18, 2015

Details

NPI: 1134598295
Entity type: Individual (NPI-1)
Name: Dr. O. M. Custer
Credential: Ed.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Sep 18, 2015
Last updated: Sep 18, 2015

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	PSY 22981	CA	Yes

Practice location

14 West Main St
Suite 5
Ione, CA 95640-1415

Phone 209-642-0724

Mailing address

Po Box 1415
Ione, CA 95640-1415

Phone 209-642-0724

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Psychologist providers in Ione, CA

All 16 Clinical Psychologist providers in Ione · All 105 providers in Ione

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