DORON A. DULA PSY.D.
NPI 1578838645
Psychologist - Clinical Child & Adolescent in Claremont, CA
- Individual
- Male
- Psychologist
- Clinical Child & Adolescent
- PECOS Enrolled
- Opted-Out Medicare
About DORON DULA
This page provides the complete NPI Profile along with additional information for Doron Dula, a provider established in Claremont, California with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1578838645 assigned on March 2012. The practitioner's primary taxonomy code is 103TC2200X with license number PSY16778 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1578838645 Verify this NPI
- Provider Name
- DORON A. DULA PSY.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 250 W 1ST ST STE 352 CLAREMONT, CA 91711
- Location Phone
- (909) 624-8378
- Location Fax
- (909) 626-4507
- Mailing Address
- 250 W 1ST ST STE 352 CLAREMONT, CA 91711
- Mailing Phone
- (909) 624-8378
- Mailing Fax
- (909) 626-4507
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-21-2012
- Last Update Date
- 08-22-2012
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Doron Dula opted out of Medicare effective on 01-01-2016 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY16778
- License State
- CA
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | PSY16778 (CA) |
Medicare Participation & PECOS Enrollment Status
Doron Dula is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2016
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CLAREMONT, CA 91711
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578838645, enumerated as an "individual" on March 21, 2012.
The provider is located at 250 W 1ST ST STE 352 CLAREMONT, CA 91711 and the phone number is (909) 624-8378.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.
