DIMITRA KOURTESI PH.D., LP
NPI 1205209293
Psychologist - Clinical in Chandler, AZ

Q: What is Dimitra Kourtesi's NPI number?

The NPI number for Dimitra Kourtesi is 1205209293. It was assigned to this individual provider in the NPPES registry on November 12, 2015.

Q: What is Dimitra Kourtesi's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Dimitra Kourtesi was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 12, 2015PECOS EnrolledAccepts Medicare Assignment

2081 W FRYE RD STE 208, CHANDLER, AZ 85224(480) 716-0545 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2017, Jan 31, 2017, Nov 12, 2015 (3 updates tracked since 2015).

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About Dimitra Kourtesi Ph.d., Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIMITRA KOURTESI PH.D., LP (NPI 1205209293) is an individual clinical provider in Chandler, Arizona, licensed in Arizona (PSY-005976) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205209293

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDIMITRA KOURTESICredential: PH.D., LP

Location Address2081 W FRYE RD STE 208Chandler, AZ 85224-6279

Mailing Address1417 Summer Glow AveHenderson, NV 89012-4455 · (415) 688-9879

Phone(480) 716-0545

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 12, 2015

Last NPPES UpdateAugust 1, 20253 updates tracked since enumeration

NPPES CertifiedAugust 1, 2025

✔ NPI 1205209293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AZ · PSY-005976

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2081 W FRYE RD STE 208, Chandler, AZ 85224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dimitra Kourtesi Ph.d., Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315343241

PECOS Enrollment IDI20250917002991

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN KUEHL LPC

Counselor (Professional)