Lissette Heredia Perez, PSY D
NPI 1619041472ActiveIndividual· Psychologist· Quebradillas, PR
Psychologist (PSY D) in Quebradillas, Puerto Rico, licensed in PR, with an NPI issued in November 2006. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1619041472 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY D |
| Sole proprietor | No |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1443 | PR |
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 - Psychologist Billing Independently (PR) |
|---|
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