Omar Mendoza Mahmood, PH.D.
NPI 1326309154ActiveIndividual· Clinical Neuropsychologist· Los Angeles, CA
Clinical Neuropsychologist (PH.D.) in Los Angeles, California, trained at Wayne State University School of Medicine (class of 2008). Medicare paid $101,541 for services to 224 patients in 2024.
Overview
| NPI | 1326309154 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 7, 2012 |
| Last updated in NPPES | Jul 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | PSY24715 | 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) | Enrolled Practitioner - Clinical Psychologist (CA); Practitioner - Other (Non-Physician) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 224 |
|---|---|
| Services billed | 1,762 across 7 procedure codes |
| Paid by Medicare | $101,541 |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Clinical Psychologist |
Medical group
- Executive Mental Health, IncLos Angeles, CA · 47 clinicians
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