Intricate Mind Institute, LLC
NPI 1457638124ActiveOrganization· Psychologist, Cognitive & Behavioral· San Diego, CA
Psychologist, Cognitive & Behavioral in San Diego, California, registered in NPPES in November 2011. The authorized official on file is Mary J. Baker-Ericzen, PH.D., Director.
Overview
| NPI | 1457638124 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2011 |
| Last updated in NPPES | Nov 9, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Cognitive & Behavioral Primary | 103TB0200X | PSY17553 | CA |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | PSY23448 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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