DR. JANICE VIDIC (PH.D.) – Clinical Psychologist, NPI 1417363805

DR. JANICE VIDIC (PH.D.) is a healthcare provider. based in Grove city, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 7081 (OH). The NPI Number for DR. JANICE VIDIC (PH.D.) is 1417363805

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JANICE VIDIC (PH.D.)
NPI
1417363805
Phone
(614) 517-4586
Address
3971 HOOVER RD
Enumeration Date
7 July 2014
Last Update Date
15 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4193811881
Graduation Year
2001 (25 years ago)
PAC ID
8729303250
Group Practice PAC ID
0143133181
Professional Enrollment ID
I20150204001473
Address ID
OH436142701TO930XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. JANICE VIDIC (PH.D.)

  • 3971 HOOVER RD

    #75

    GROVE CITY, OH 431232839

    Phone: (614) 517-4586

    Type: Mailing

  • 2200 W BROAD ST

    COLUMBUS, OH 432231297

    Phone: (614) 752-0333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150204001473IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143133181View full group profile
NameSpecialtyState
-OH
Clinical PsychologistOH
P S Y C H I A T R YOH
Certified Clinical Nurse Specialist (Cns)OH
Clinical PsychologistOH
Family PracticeOH
-OH
-OH
-MD
-OH

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JANICE VIDIC (PH.D.)'s NPI?
Yes. DR. JANICE VIDIC (PH.D.) is listed with NPI 1417363805 in the public NPI dataset.
Does the file indicate DR. JANICE VIDIC (PH.D.) is practicing under active NPI?
Directory data currently reports DR. JANICE VIDIC (PH.D.) as active.
What is DR. JANICE VIDIC (PH.D.)'s specialty?
The listing groups DR. JANICE VIDIC (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JANICE VIDIC (PH.D.)?
DR. JANICE VIDIC (PH.D.)'s geographic hint is Grove City, Ohio in our summary view.
Is the information about DR. JANICE VIDIC (PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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