DR. BERENICE IBANEZ PH.D.
NPI 1740394386
Psychologist in San Ysidro, CA

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 428-5561(619) 205-1979 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Berenice Ibanez Ph.d. NPPES

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

DR. BERENICE IBANEZ PH.D. (NPI 1740394386) is an individual psychologist in San Ysidro, California, licensed in California (PSY22080) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1740394386
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. BERENICE IBANEZCredential: PH.D.
Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007
Mailing Address4004 Beyer BlvdSan Ysidro, CA 92173-2007 · (619) 428-5561 · Fax (619) 205-1979
Fax(619) 205-1979
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 19, 2006
Last NPPES UpdateJune 4, 2012
NPI 1740394386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY22080
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4004 BEYER BLVD, San Ysidro, CA 92173

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. Berenice Ibanez 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 ID3870651185
PECOS Enrollment IDI20101012000750
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.

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.

Clinic/Center (Rural Health)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Registered Nurse (Infection Control)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Marriage & Family Therapist
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Physician Assistant (Medical)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Internal Medicine
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Internal Medicine
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
Physician Assistant
4004 BEYER BLVD
SAN YSIDRO, CA 92173

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 Berenice Ibanez's NPI number?

The NPI number for Berenice Ibanez is 1740394386. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Berenice Ibanez located?

Berenice Ibanez practices at 4004 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 428-5561.

What is Berenice Ibanez's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Berenice Ibanez enrolled in Medicare?

Yes. Berenice Ibanez 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 Berenice Ibanez was last updated on June 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.