Manfredo Florescruz
NPI 1407673908ActiveIndividual· Psychologist· Fulton, MO
Psychologist in Fulton, Missouri, licensed in MO, with an NPI issued in September 2024. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1407673908 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 25, 2024 |
| Last updated in NPPES | Sep 25, 2024 |
| Certified by provider | Sep 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2023049778 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|
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