DR. PETER NICHOLSON MADURO J.D., PSY.D.
NPI 1245425081
Psychologist - Clinical in Beverly Hills, CA

Q: What is Peter Maduro's NPI number?

The NPI number for Peter Maduro is 1245425081. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Q: What is Peter Maduro's specialty?

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

Q: Is Peter Maduro enrolled in Medicare?

No. Peter Maduro has opted out of Medicare through October 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Peter Maduro was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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 September 13, 2007Opted out of Medicare · through Oct 4, 2027

450 N BEDFORD DR, SUITE 302, BEVERLY HILLS, CA 90210(310) 858-6455(310) 442-9508 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Peter Nicholson Maduro J.d., Psy.d. NPPES

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

DR. PETER NICHOLSON MADURO J.D., PSY.D. (NPI 1245425081) is an individual clinical provider in Beverly Hills, California, licensed in California (19531) and active in the NPI registry since September 2007. He has opted out of Medicare through October 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245425081

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PETER NICHOLSON MADUROCredential: J.D., PSY.D.

Location Address450 N BEDFORD DR, SUITE 302Beverly Hills, CA 90210-4324

Mailing Address450 N Bedford Dr, Suite 302Beverly Hills, CA 90210-4324 · (310) 858-6455 · Fax (310) 442-9508

Phone(310) 858-6455

Fax(310) 442-9508

Sole ProprietorYes

Enumeration DateSeptember 13, 2007

✔ NPI 1245425081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 19531

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.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 19531 (CA)

Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 19531 (CA)

Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X · License 19531 (CA)

450 N BEDFORD DR, Beverly Hills, CA 90210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Peter Nicholson Maduro J.d., Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 4, 2021 through October 4, 2027.

Opt-Out Effective DateOctober 4, 2021

Opt-Out In Effect ThroughOctober 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90210 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 20

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

PETER J CORNELL MD INC

Ophthalmology

450 N BEDFORD DR, SUITE 101
BEVERLY HILLS, CA 90210

Los Angeles County (310) 274-9205

P. DAVID LEVIADIN, MD, INC.

Psychiatry & Neurology (Psychiatry)

450 N BEDFORD DR, SUITE 304
BEVERLY HILLS, CA 90210

Los Angeles County (310) 888-8050

SUSAN L WILLIAMS PHD A PSYCHOLOGICAL CORPORATION

Psychologist

450 N BEDFORD DR, SUITE 207
BEVERLY HILLS, CA 90210

Los Angeles County (310) 271-7885

MS. VICTORIA MIHICH M.F.T.

Marriage & Family Therapist

450 N BEDFORD DR, SUITE 307
BEVERLY HILLS, CA 90210

Los Angeles County (310) 475-0121

LAWRENCE STUART MILLER M.D.

Rehabilitation Practitioner

450 N BEDFORD DR, SUITE 205
BEVERLY HILLS, CA 90210

Los Angeles County (310) 319-2619

R. F. SALDAMANDO DDS INC

Dentist

450 N BEDFORD DR, SUITE 209
BEVERLY HILLS, CA 90210

Los Angeles County (310) 550-0800

DR. JEFFREY STUART GANDIN M.D.

Psychiatry & Neurology (Psychiatry)

450 N BEDFORD DR, STE. 307
BEVERLY HILLS, CA 90210

Los Angeles County (310) 497-8900

DR. JONATHAN DAVID RUDNER D.D.S.

Dentist (General Practice)

450 N BEDFORD DR, SUITE 214
BEVERLY HILLS, CA 90210

Los Angeles County (310) 226-8181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Maduro's NPI number?

The NPI number for Peter Maduro is 1245425081. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Peter Maduro located?

Peter Maduro practices at 450 N Bedford Dr Suite 302, Beverly Hills, CA 90210. The listed phone number is (310) 858-6455.

What is Peter Maduro's specialty?

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

Is Peter Maduro enrolled in Medicare?

No. Peter Maduro has opted out of Medicare through October 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Peter Maduro was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.