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DR. NANETTE DE FUENTES PH.D.
NPI 1720011885
Psychologist - Clinical in Glendale, CA

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
138 N BRAND BLVD, SUITE 300, GLENDALE, CA 91203(818) 548-1122(323) 254-4548 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nanette De Fuentes Ph.d. NPPES

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

DR. NANETTE DE FUENTES PH.D. (NPI 1720011885) is an individual clinical provider in Glendale, California, licensed in California (PSY 11400) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1720011885
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NANETTE DE FUENTESCredential: PH.D.
Location Address138 N BRAND BLVD, SUITE 300Glendale, CA 91203-4614
Mailing Address138 N Brand Blvd, Suite 300Glendale, CA 91203-4614 · (818) 548-1122 · Fax (323) 254-4548
Phone(818) 548-1122
Fax(323) 254-4548
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720011885 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 · PSY 11400
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.
138 N BRAND BLVD, Glendale, CA 91203
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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. Nanette De Fuentes 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 ID5597946624
PECOS Enrollment IDI20110223000396
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

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.
270 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91203 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY ALICIA EVANS M.F.T.
Marriage & Family Therapist
138 N BRAND BLVD, SUITE 300
GLENDALE, CA 91203
Los Angeles County (626) 808-5463
SIKANDRA TANK, MD, PC
Internal Medicine (Hospice and Palliative Medicine)
138 N BRAND BLVD, SUITE 200, UNIT 240
GLENDALE, CA 91203
Los Angeles County (559) 499-1233
MS. CAROLINA HUETE-LEHMAN M.A., MFT
Marriage & Family Therapist
138 N BRAND BLVD, 300
GLENDALE, CA 91203
Los Angeles County (818) 545-7474
BRAND PSYCHIATRIC MEDICAL GROUP
Specialist
138 N BRAND BLVD, SUITE 303
GLENDALE, CA 91203
Los Angeles County (818) 500-9708
GISELA BURQUET LMFT
Marriage & Family Therapist
138 N BRAND BLVD, SUITE 200 UNIT#272
GLENDALE, CA 91203
Los Angeles County (213) 618-1547
DR. LESLIE GAIL MAXSON PH.D., PSY.D
Psychologist (Clinical)
138 N BRAND BLVD, SUITE #300
GLENDALE, CA 91203
Los Angeles County (818) 956-8240

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 Nanette De Fuentes's NPI number?

The NPI number for Nanette De Fuentes is 1720011885. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Nanette De Fuentes located?

Nanette De Fuentes practices at 138 N Brand Blvd Suite 300, Glendale, CA 91203. The listed phone number is (818) 548-1122.

What is Nanette De Fuentes's specialty?

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

Is Nanette De Fuentes enrolled in Medicare?

Yes. Nanette De Fuentes 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 Nanette De Fuentes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.