Evolving Pathways Psychology Corporation
NPI 1194303446ActiveOrganization· Psychologist, Clinical· Hermosa Beach, CA
Psychologist, Clinical in Hermosa Beach, California, registered in NPPES in March 2021. The authorized official on file is Jessie Caldera, PSY.D, Clinical Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194303446 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2021 |
| Last updated in NPPES | Mar 14, 2025 |
| Certified by provider | Mar 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
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 Part B Supplier - Clinic/Group Practice (CA) |
|---|
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