Acacia Psychological Corporation
NPI 1386139087ActiveOrganization· Psychologist· Los Angeles, CA
Psychologist in Los Angeles, California, registered in NPPES in June 2018, part of Acacia Psychological Corporation. The authorized official on file is Jess Rodriguez, Director Of Business Services.
Overview
| NPI | 1386139087 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Acacia Psychological Corporation |
| NPI issued | Jun 25, 2018 |
| Last updated in NPPES | Jun 25, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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