Jessie J. Lundquist, PHD
NPI 1396064168ActiveIndividual· Psychologist, School· Bernalillo, NM
Psychologist, School (PHD) in Bernalillo, New Mexico, licensed in NM, with an NPI issued in May 2010. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1396064168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | May 19, 2010 |
| Last updated in NPPES | May 19, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, School Primary | 103TS0200X | 336140 | NM |
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 (TX) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Other Psychologist, School providers in Bernalillo
- 1174841043