Acacia Psychological Corporation
NPI 1295279883ActiveOrganization· Psychologist, Clinical· Davis, CA
Psychologist, Clinical in Davis, California, registered in NPPES in December 2016. The authorized official on file is Jess Rodriguez, Chief Business Officer.
Overview
| NPI | 1295279883 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2016 |
| Last updated in NPPES | Feb 26, 2020 |
| Certified by provider | Feb 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 26685 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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