Alicia Elisa Ayala Laconich, PH.D IN PSYCHOLOGY
NPI 1376138495ActiveIndividual· Clinical Neuropsychologist· Jacksonville, FL
Clinical Neuropsychologist (PH.D IN PSYCHOLOGY) with Baptist Behavioral Health LLC, practicing in Jacksonville, Florida. Medicare paid $15,150 for services to 36 patients in 2024.
Overview
| NPI | 1376138495 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D IN PSYCHOLOGY |
| Sole proprietor | No |
| NPI issued | Mar 2, 2021 |
| Last updated in NPPES | Sep 10, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | PY10781 | FL |
| Psychologist, Clinical | 103TC0700X | PY10781 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 173 across 12 procedure codes |
| Paid by Medicare | $15,150 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Baptist Behavioral Health LLCJacksonville, FL · 121 clinicians
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