Mindy Jitmanowan, PSY
NPI 1316372501ActiveIndividual· Psychologist, Clinical· Albuquerque, NM
Psychologist, Clinical (PSY) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in September 2013. Medicare paid $6,325 for services to 43 patients in 2024.
Overview
| NPI | 1316372501 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY |
| Sole proprietor | Yes |
| NPI issued | Sep 6, 2013 |
| Last updated in NPPES | May 20, 2021 |
| Certified by provider | May 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY1623 | NM |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 84 across 4 procedure codes |
| Paid by Medicare | $6,325 |
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