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Jacob Gonzalez, MA

NPI 1255175147ActiveIndividual· Psychologist, School· Las Cruces, NM

Psychologist, School (MA) in Las Cruces, New Mexico, with an NPI issued in June 2024.

Overview

NPI1255175147
StatusActive
Entity typeIndividual
CredentialMA
Sole proprietorNo
NPI issuedJun 24, 2024
Last updated in NPPESJun 24, 2024
Certified by providerJun 24, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, School Primary103TS0200X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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