DR. VIVIAN FERNANDEZ CREDIDIO PHD
NPI 1992883037
Psychologist - Clinical in Manhattan Beach, CA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
806 MANHATTAN BEACH BL, STE 207, MANHATTAN BEACH, CA 90266(310) 376-3388(310) 372-0198 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vivian Fernandez Credidio Phd NPPES

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

DR. VIVIAN FERNANDEZ CREDIDIO PHD (NPI 1992883037) is an individual clinical provider in Manhattan Beach, California, licensed in California (PSY10441) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1992883037
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VIVIAN FERNANDEZ CREDIDIOCredential: PHD
Location Address806 MANHATTAN BEACH BL, STE 207Manhattan Beach, CA 90266
Mailing Address806 Manhattan Beach Bl, Ste 207Manhattan Beach, CA 90266 · (310) 376-3388 · Fax (310) 372-0198
Fax(310) 372-0198
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1992883037 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 · PSY10441
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.
806 MANHATTAN BEACH BL, Manhattan Beach, CA 90266

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. Vivian Fernandez Credidio 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.

PECOS PAC ID9032371794
PECOS Enrollment IDI20120426000112
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
417 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90266 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Vivian Credidio's NPI number?

The NPI number for Vivian Credidio is 1992883037. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Vivian Credidio located?

Vivian Credidio practices at 806 Manhattan Beach Bl Ste 207, Manhattan Beach, CA 90266. The listed phone number is (310) 376-3388.

What is Vivian Credidio's specialty?

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

Is Vivian Credidio enrolled in Medicare?

Yes. Vivian Credidio 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 Vivian Credidio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.