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Acacia Psychological Corporation

NPI 1962061739ActiveOrganization· Psychologist· Santa Cruz, CA

Psychologist in Santa Cruz, California, registered in NPPES in June 2019, part of Acacia Psychological Corporation. The authorized official on file is Jess Rodriguez, Director Of Business Services.

Overview

NPI1962061739
StatusActive
Entity typeOrganization (subpart)
Parent organizationAcacia Psychological Corporation
NPI issuedJun 6, 2019
Last updated in NPPESJun 6, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X——

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

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