Destiny M. Waggoner, PH.D.
NPI 1235582727ActiveIndividual· Psychologist· Albuquerque, NM
Psychologist (PH.D.) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in July 2016. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1235582727 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jul 20, 2016 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY1566 | NM |
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 (NM) |
|---|
Other psychologists in Albuquerque
- 1023484755
- 1093839375
- 1104746049
- 1164204657
- 1184939027
- 1255433421
- 1275280026
- 1275804213
- 1336088806
- 1366258386
- 1366531592
- 1396978490
All 165 psychologists in Albuquerque · All psychologists in New Mexico