Raquel Ivelisse Lopez Crespo, PSIC
NPI 1245864081ActiveIndividual· Psychologist· Canovanas, PR
Psychologist (PSIC) in Canovanas, Puerto Rico, licensed in PR, with an NPI issued in March 2020. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1245864081 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSIC |
| Sole proprietor | Yes |
| NPI issued | Mar 2, 2020 |
| Last updated in NPPES | Feb 17, 2023 |
| Certified by provider | Feb 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6375 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychologist Billing Independently (PR) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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