Rachael Itunu Ajetomobi, PHD, LP
NPI 1891533055ActiveIndividual· Psychologist, Clinical· Minneapolis, MN
Psychologist, Clinical (PHD, LP) with Hennepin Healthcare System Inc, practicing in Minneapolis, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist. Lists Hennepin County Medical Center as a hospital affiliation.
Overview
| NPI | 1891533055 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, LP |
| Sole proprietor | Yes |
| NPI issued | Jul 19, 2024 |
| Last updated in NPPES | Oct 29, 2024 |
| Certified by provider | Oct 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP7096 | MN |
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 (MN) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Hennepin Healthcare System IncMinneapolis, MN · 871 clinicians
Hospital affiliation
- Hennepin County Medical CenterMinneapolis, MN
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All 388 clinical psychologists in Minneapolis · All clinical psychologists in Minnesota