DAMIEN GONSALVES MFTI
NPI 1790298453
Psychologist - Clinical in Woodland Hills, CA

Q: What is Damien Gonsalves's NPI number?

The NPI number for Damien Gonsalves is 1790298453. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Q: What is Damien Gonsalves's specialty?

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

Q: Is Damien Gonsalves enrolled in Medicare?

No. Damien Gonsalves has opted out of Medicare through January 12, 2028. 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 Damien Gonsalves was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 November 15, 2017Opted out of Medicare · through Jan 12, 2028

6022 VARIEL AVE, WOODLAND HILLS, CA 91367(818) 274-0304 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Damien Gonsalves Mfti NPPES

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

DAMIEN GONSALVES MFTI (NPI 1790298453) is an individual clinical provider in Woodland Hills, California, licensed in California (IMF76991) and active in the NPI registry since November 2017. He has opted out of Medicare through January 12, 2028.

NPPES Registry Identity

NPI1790298453

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDAMIEN GONSALVESCredential: MFTI

Location Address6022 VARIEL AVEWoodland Hills, CA 91367-3719

Mailing Address816 1/3 W Knoll DrWest Hollywood, CA 90069-4714

Phone(818) 274-0304

Sole ProprietorYes

Enumeration DateNovember 15, 2017

✔ NPI 1790298453 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 · IMF76991

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.

6022 VARIEL AVE, Woodland Hills, CA 91367

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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

Damien Gonsalves Mfti 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 January 12, 2024 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2024

Opt-Out In Effect ThroughJanuary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

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