DR. BRIAN BUZZELLA PH.D.
NPI 1720334535
Psychologist - Clinical in San Diego, CA

Q: What is Brian Buzzella's NPI number?

The NPI number for Brian Buzzella is 1720334535. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Q: What is Brian Buzzella's specialty?

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

Q: Is Brian Buzzella enrolled in Medicare?

No. Brian Buzzella has opted out of Medicare through September 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Brian Buzzella was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 30, 2012Opted out of Medicare · through Sep 26, 2026

4025 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108(619) 542-7745 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Brian Buzzella Ph.d. NPPES

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

DR. BRIAN BUZZELLA PH.D. (NPI 1720334535) is an individual clinical provider in San Diego, California, licensed in California (25059) and active in the NPI registry since July 2012. He has opted out of Medicare through September 26, 2026.

NPPES Registry Identity

NPI1720334535

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRIAN BUZZELLACredential: PH.D.

Location Address4025 CAMINO DEL RIO S STE 300San Diego, CA 92108-4108

Mailing Address4025 Camino Del Rio S Ste 300San Diego, CA 92108-4108 · (619) 542-7745

Phone(619) 542-7745

Sole ProprietorYes

Enumeration DateJuly 30, 2012

Last NPPES UpdateOctober 2, 2019

✔ NPI 1720334535 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 · 25059

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.

4025 CAMINO DEL RIO S STE 300, San Diego, CA 92108

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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. Brian Buzzella 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 September 26, 2020 through September 26, 2026.

Opt-Out Effective DateSeptember 26, 2020

Opt-Out In Effect ThroughSeptember 26, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

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