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Javier Carrillo, PHD

NPI 1750327649ActiveIndividual· Psychologist· San Angelo, TX

Psychologist (PHD) with El Paso Community Mhmr, practicing in San Angelo, Texas. Enrolled in Medicare as practitioner - clinical psychologist.

Overview

NPI1750327649
StatusActive
Entity typeIndividual
CredentialPHD
Sole proprietorNo
NPI issuedJun 21, 2006
Last updated in NPPESNov 13, 2020
Certified by providerNov 13, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X24690TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (TX)

Medicare sources and data years

Education and affiliations

Graduation year1990
Medicare specialtyClinical Psychologist

Medical group

Source: CMS Care Compare

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