Elisamuel Martinez Diaz
NPI 1033173745ActiveIndividual· Psychologist, Clinical· New Rochelle, NY
Psychologist, Clinical in New Rochelle, New York, trained at Ponce School of Medicine (class of 2005). Medicare paid $144,703 for services to 207 patients in 2024.
Overview
| NPI | 1033173745 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 12, 2006 |
| Last updated in NPPES | Feb 21, 2025 |
| Certified by provider | Feb 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 024087 | NY |
| Psychologist, Clinical | 103TC0700X | 2559 | PR |
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 Practitioner - Clinical Psychologist (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 207 |
|---|---|
| Services billed | 2,016 across 3 procedure codes |
| Paid by Medicare | $144,703 |
Education and affiliations
| Medical school | Ponce School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Clinical Psychologist |
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All 27 clinical psychologists in New Rochelle · All clinical psychologists in New York