Miss Dianna Marisol Gonzalez, PHD is a medicare enrolled "Psychologist - Counseling" provider in Torrance, California. She graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Crossroads Institute For Psychotherapy And Assessment, Inc and her current practice location is
2601 Airport Dr, 135, Torrance, California. You can reach out to her office (for appointments etc.) via phone at
(424) 201-1600.
Miss Dianna Marisol Gonzalez is licensed to practice in California (license number PSY26893) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275664500.
Healthcare Provider's Profile
| Full Name | Miss Dianna Marisol Gonzalez |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 13 Years |
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| Location | 2601 Airport Dr, Torrance, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Dianna Marisol Gonzalez graduated from medical school in 2013
NPI Data:
- NPI Number: 1275664500
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 05/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 7214242072
- Enrollment ID: I20150824000341
Medical Identifiers
Medical identifiers for Miss Dianna Marisol Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275664500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | IMF52865 (California) | Secondary |
| 103TC1900X | Psychologist - Counseling | PSY26893 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Crossroads Institute For Psychotherapy And Assessment, Inc | 9638391949 | 5 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Dianna Marisol Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Crossroads Institute For Psychotherapy And Assessment, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831432806
PECOS PAC ID: 9638391949
Enrollment ID: O20141120001200 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Dianna Marisol Gonzalez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Miss Dianna Marisol Gonzalez, PHD
2601 Airport Dr, 135,
Torrance, CA 90505-6140
Ph: (424) 201-1600 | Miss Dianna Marisol Gonzalez, PHD
2601 Airport Dr, 135,
Torrance, CA 90505-6140
Ph: (424) 201-1600 |
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