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DR. CARLOS ALBERTO PROTZEL LCSW, PSYD
NPI 1447580105
Psychologist - Clinical in Marina Del Rey, CA

Active since December 31, 2009Opted out of Medicare · through Oct 1, 2026
333 WASHINGTON BLVD #674, MARINA DEL REY, CA 90292(323) 454-3041(888) 975-0227 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carlos Alberto Protzel Lcsw, Psyd NPPES

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

DR. CARLOS ALBERTO PROTZEL LCSW, PSYD (NPI 1447580105) is an individual clinical provider in Marina Del Rey, California, licensed in California (PSY 24612) and active in the NPI registry since December 2009. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447580105
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CARLOS ALBERTO PROTZELCredential: LCSW, PSYD
Location Address333 WASHINGTON BLVD #674Marina Del Rey, CA 90292
Mailing Address333 Washington Blvd #674Marina Del Rey, CA 90292 · (323) 454-3041 · Fax (888) 975-0227
Phone(323) 454-3041
Fax(888) 975-0227
Sole ProprietorYes
Enumeration DateDecember 31, 2009
Last NPPES UpdateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1447580105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 24612
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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 26028 (CA)

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. Carlos Alberto Protzel Lcsw, Psyd 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 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-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 90292 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.

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 Carlos Protzel's NPI number?

The NPI number for Carlos Protzel is 1447580105. It was assigned to this individual provider in the NPPES registry on December 31, 2009.

Where is Carlos Protzel located?

Carlos Protzel practices at 333 Washington Blvd #674, Marina Del Rey, CA 90292. The listed phone number is (323) 454-3041.

What is Carlos Protzel's specialty?

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

Is Carlos Protzel enrolled in Medicare?

No. Carlos Protzel has opted out of Medicare through October 1, 2026. 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 Carlos Protzel was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.