Gricelda Fragoso Psyd A Professional Psychology Corporation
NPI 1669012787ActiveOrganization· Psychologist, Clinical· Encinitas, CA
Psychologist, Clinical in Encinitas, California, registered in NPPES in January 2020. The authorized official on file is Gricelda Fragoso, PSYD, Clinical Psychologist/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669012787 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2020 |
| Last updated in NPPES | Feb 16, 2026 |
| Certified by provider | Feb 16, 2026 |
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 (CA) |
|---|
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