SIMONE RAVICZ PH.D.
NPI 1437714540
Psychologist in Palm Springs, CA

Active since May 03, 2019Opted out of Medicare · through May 31, 2028
565 S LA MIRADA RD, PALM SPRINGS, CA 92264(760) 904-7957 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2019, May 3, 2019 (2 updates tracked since 2019).

About Simone Ravicz Ph.d. NPPES

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

SIMONE RAVICZ PH.D. (NPI 1437714540) is an individual psychologist in Palm Springs, California, licensed in California (PSY15512) and active in the NPI registry since May 2019. She has opted out of Medicare through May 31, 2028.

NPPES Registry Identity

NPI1437714540
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSIMONE RAVICZCredential: PH.D.
Location Address565 S LA MIRADA RDPalm Springs, CA 92264-7314
Mailing Address565 S La Mirada RdPalm Springs, CA 92264
Sole ProprietorYes
Enumeration DateMay 3, 2019
Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration
NPI 1437714540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY15512
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
565 S LA MIRADA RD, Palm Springs, CA 92264

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Simone Ravicz Ph.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 May 31, 2024 through May 31, 2028.

Opt-Out Effective DateMay 31, 2024
Opt-Out In Effect ThroughMay 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Simone Ravicz's NPI number?

The NPI number for Simone Ravicz is 1437714540. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Simone Ravicz located?

Simone Ravicz practices at 565 S La Mirada Rd, Palm Springs, CA 92264. The listed phone number is (760) 904-7957.

What is Simone Ravicz's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Simone Ravicz enrolled in Medicare?

No. Simone Ravicz has opted out of Medicare through May 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Simone Ravicz was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.