Edesther Alejandra Caballero-Gippson
NPI 1194011452ActiveIndividual· Psychologist, Clinical· San Juan, PR
Psychologist, Clinical with Elders of Puerto Rico PSC, practicing in San Juan, Puerto Rico. Medicare paid $16,009 for services to 54 patients in 2024.
Overview
| NPI | 1194011452 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 24, 2011 |
| Last updated in NPPES | Jul 8, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3988 | 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 (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 486 across 6 procedure codes |
| Paid by Medicare | $16,009 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Elders of Puerto Rico PSCSan Juan, PR · 3 clinicians
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