MARIE A DIAZ VARONA PSYD, LP
NPI 1720611148
Psychologist - Clinical in Maple Grove, MN

Active since February 13, 2020PECOS Enrolled
9555 UPLAND LN N, MAPLE GROVE, MN 55369(952) 993-1440 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2020, Feb 13, 2020 (2 updates tracked since 2020).

About Marie A Diaz Varona Psyd, Lp NPPES

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

MARIE A DIAZ VARONA PSYD, LP (NPI 1720611148) is an individual clinical provider in Maple Grove, Minnesota, licensed in Minnesota (LP6508) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Ponce School Of Medicine (2017).

NPPES Registry Identity

NPI1720611148
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARIE A DIAZ VARONACredential: PSYD, LP
Location Address9555 UPLAND LN NMaple Grove, MN 55369-4485
Mailing Address9555 Upland Ln NMaple Grove, MN 55369-4485 · (952) 993-1440
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 2017
Enumeration DateFebruary 13, 2020
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
NPI 1720611148 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 MN · LP6508
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.

9555 UPLAND LN N, Maple Grove, MN 55369

Secondary Practice Location 1

Location 1219 SE Main St Ste 400Minneapolis, MN 55414-2151 · Phone (612) 886-2524 · Fax (612) 886-2538

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marie A Diaz Varona Psyd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244661122
PECOS Enrollment IDI20200508001082
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 55369 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Internal Medicine
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychologist
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Pediatrics
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Nurse Practitioner (Adult Health)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Clinic/Center
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Social Worker (Clinical)
9555 UPLAND LN N, BEHAVIORAL HEALTH, 3RD FLOOR
MAPLE GROVE, MN 55369
Psychologist (Clinical Child & Adolescent)
9555 UPLAND LN N
MAPLE GROVE, MN 55369

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 Marie Diaz Varona's NPI number?

The NPI number for Marie Diaz Varona is 1720611148. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Marie Diaz Varona located?

Marie Diaz Varona practices at 9555 Upland Ln N, Maple Grove, MN 55369. The listed phone number is (952) 993-1440.

What is Marie Diaz Varona's specialty?

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

Is Marie Diaz Varona enrolled in Medicare?

Yes. Marie Diaz Varona is registered in the Medicare PECOS enrollment system.

What insurance does Marie Diaz Varona accept?

Health plans from HealthPartners list Marie Diaz Varona as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marie Diaz Varona was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.