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NPISignal

Individual Healthcare Provider

Igor Vasilj, PH.D.

NPI Record: ActivePsychologist — Clinical
NPI1225405038
Fort Drum, New York

Provider's NPPES record last updated: November 22, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1225405038
Primary Specialty
Psychologist — Clinical
Practice Location
Fort Drum, New York
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 7:32 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Clinical

    Behavioral Health & Social Service Providers

    Primary

    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

    Taxonomy code 103TC0700X

Provider-Reported License Information

Psychologist (Wyoming)
692
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

11050 Mount Belvedere Blvd

Fort Drum, New York 13602

Phone: (315) 408-2411

Additional Practice Location

11050 Mount Belvedere Blvd

Fort Drum, New York 13602

Phone: (315) 408-2411

Record Information

Enumeration Date
August 27, 2015
Provider's NPPES Record Last Updated
November 22, 2019
NPISignal NPPES Dataset
August 2026

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