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NPI 1780924621ActiveIndividual· Psychologist· Aguada, PR

Psychologist in Aguada, Puerto Rico, licensed in PR and NY, with an NPI issued in February 2013.

Overview

NPI1780924621
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedFeb 28, 2013
Last updated in NPPESJul 7, 2025
Certified by providerJun 24, 2025
ReactivatedJun 23, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X004750PR
Counselor, Mental Health101YM0800XP121148NY

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Psychologist providers in Aguada

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