Albert Modad, PSYD
NPI 1629453691ActiveIndividual· Psychologist, Clinical· San Clemente, CA
Psychologist, Clinical (PSYD) with Family Health Centers of San Diego Inc, practicing in San Clemente, California. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1629453691 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Jul 20, 2015 |
| Last updated in NPPES | Oct 23, 2024 |
| Certified by provider | Oct 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 29697 | 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) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Family Health Centers of San Diego IncSan Diego, CA · 311 clinicians
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All 20 clinical psychologists in San Clemente · All clinical psychologists in California