DR. CODY L GUSTAVESON PHD
NPI 1790303451
Psychologist - Clinical in La Mesa, CA
About Dr. Cody L Gustaveson Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CODY L GUSTAVESON PHD (NPI 1790303451) is an individual clinical provider in La Mesa, California, licensed in California (34321) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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.
Secondary Practice Location 1
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. Cody L Gustaveson Phd 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA MESA, CA 91942
LA MESA, CA 91942
LA MESA, CA 91942
LA MESA, CA 91942
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 Cody Gustaveson's NPI number?
The NPI number for Cody Gustaveson is 1790303451. It was assigned to this individual provider in the NPPES registry on July 9, 2020.
Where is Cody Gustaveson located?
Cody Gustaveson practices at 8881 Fletcher Pkwy Ste 350-360, La Mesa, CA 91942. The listed phone number is (858) 279-1223.
What is Cody Gustaveson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Cody Gustaveson enrolled in Medicare?
Yes. Cody Gustaveson 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 Cody Gustaveson was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
