DR. NICOLE DIZON WITKIN PSY.D
NPI 1609136571
Psychologist - Clinical in Del-mar, CA

Q: What is Nicole Witkin's NPI number?

The NPI number for Nicole Witkin is 1609136571. It was assigned to this individual provider in the NPPES registry on May 24, 2012. The provider is also known as Ms. Nicole Dizon Panganiban M.A..

Q: What is Nicole Witkin'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 Nicole Witkin was last updated on December 8, 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.

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment

317 14TH ST SUITE E, DEL-MAR, CA 92014(858) 876-7728 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2020, Dec 4, 2020 (2 updates tracked since 2020).

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About Dr. Nicole Dizon Witkin Psy.d NPPES

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

DR. NICOLE DIZON WITKIN PSY.D (NPI 1609136571) is an individual clinical provider in Del-mar, California, licensed in California (32204) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609136571

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NICOLE DIZON WITKINCredential: PSY.D

Location Address317 14TH ST SUITE EDel-mar, CA 92014

Mailing Address317 14th St Ste EDel Mar, CA 92014-2554 · (858) 876-7728

Phone(858) 876-7728

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 24, 2012

Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration

NPPES CertifiedDecember 4, 2020

✔ NPI 1609136571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 32204

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 ListedCounselorTaxonomy 101Y00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

317 14TH ST SUITE E, Del-mar, CA 92014

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Other Names 1

Former Name (1)Ms. Nicole Dizon Panganiban M.a.

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. Nicole Dizon Witkin Psy.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 ID941612766

PECOS Enrollment IDI20201218000653

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92014 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 Nicole Witkin's NPI number?

The NPI number for Nicole Witkin is 1609136571. It was assigned to this individual provider in the NPPES registry on May 24, 2012. The provider is also known as Ms. Nicole Dizon Panganiban M.A..

Where is Nicole Witkin located?

Nicole Witkin practices at 317 14th St Suite E, Del-Mar, CA 92014. The listed phone number is (858) 876-7728.

What is Nicole Witkin's specialty?

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

Is Nicole Witkin enrolled in Medicare?

Yes. Nicole Witkin 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.

When was this NPI record last updated?

The NPPES record for Nicole Witkin was last updated on December 8, 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.