DR. NYDIA MARITZA MEDINA PH.D.
NPI 1407912876
Psychologist - Clinical in San Jose, CA

Q: What is Nydia Medina's NPI number?

The NPI number for Nydia Medina is 1407912876. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Nydia Medina'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 Nydia Medina was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 December 29, 2006PECOS EnrolledAccepts Medicare Assignment

6472 CAMDEN AVE STE 209, SAN JOSE, CA 95120(408) 848-2999(408) 268-6686 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Nydia Maritza Medina Ph.d. NPPES

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

DR. NYDIA MARITZA MEDINA PH.D. (NPI 1407912876) is an individual clinical provider in San Jose, California, licensed in California (PSY20267) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1407912876

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NYDIA MARITZA MEDINACredential: PH.D.

Location Address6472 CAMDEN AVE STE 209San Jose, CA 95120-2827

Mailing Address6472 Camden Ave Ste 209San Jose, CA 95120-2827 · (408) 848-2999 · Fax (408) 268-6686

Phone(408) 848-2999

Fax(408) 268-6686

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateDecember 29, 2006

Last NPPES UpdateAugust 21, 2024

NPPES CertifiedAugust 21, 2024

✔ NPI 1407912876 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 CA · PSY20267

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.

6472 CAMDEN AVE STE 209, San Jose, CA 95120

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Nydia Maritza Medina Ph.d. 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 ID3375588031

PECOS Enrollment IDI20130226000214

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

427 services24 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95120 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

$206.04 typical visit price

range $70.37 – $206.04

Typical copayment $51.51 (range $17.59 – $51.51)

Most-billed visit code 99205

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

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 Nydia Medina's NPI number?

The NPI number for Nydia Medina is 1407912876. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Nydia Medina located?

Nydia Medina practices at 6472 Camden Ave Ste 209, San Jose, CA 95120. The listed phone number is (408) 848-2999.

What is Nydia Medina's specialty?

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

Is Nydia Medina enrolled in Medicare?

Yes. Nydia Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nydia Medina accept?

Health plans from Providence Health Plan list Nydia Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nydia Medina was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.