Plaza Mental Health Clinic LLC
NPI 1417829060ActiveOrganization· Psychologist, Clinical· Ponce, PR
Psychologist, Clinical in Ponce, Puerto Rico, registered in NPPES in September 2025. The authorized official on file is Yairlein Plaza Pagan, PHD., President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417829060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2025 |
| Last updated in NPPES | Sep 23, 2025 |
| Certified by provider | Sep 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
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 Part B Supplier - Clinic/Group Practice (PR) |
|---|
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