Jaileene Avila
NPI 1902578974ActiveIndividual· Psychologist· Carolina, PR
Psychologist in Carolina, Puerto Rico, licensed in PR, with an NPI issued in September 2021. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1902578974 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 29, 2021 |
| Last updated in NPPES | Sep 29, 2021 |
| Certified by provider | Sep 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6176 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychologist Billing Independently (PR) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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