Osvelia Gonzalez Deeds, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4693 Issued in AZ

Practice address

2580 Highway 95 Ste 213G
Bullhead City, AZ 86442-7331

Phone

(505) 850-5314

Fax

(928) 438-2037

NPI assigned

Oct 4, 2009

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Dr. Osvelia G. Deeds Professional name

Medicare fee-for-service enrollment

Enrolled in NM, AZ, NV3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Healthcare Services, Inc.

  dba New Mexico Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
  • NPI 1730112483
  Medicare reassignment NPD
• Dr Osvelia G Deeds LLC

  • Psychologist
  • Albuquerque, NM
  • NPI 1912275124

  AZ, NV

  Medicare reassignment NPD
• Behavioral Healthcare Services, Inc.

  dba New Mexico Solutions

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1255780037
  NPD
• Southwest Cares NV LLC

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1053632851
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1306171723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62384",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890062384",
            "telephone_number": "505-850-5314",
            "fax_number": "928-438-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HIGHWAY 95 STE 213G",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427331",
            "telephone_number": "505-850-5314",
            "fax_number": "928-438-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEDS",
        "first_name": "OSVELIA",
        "middle_name": "GONZALEZ",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-04",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1095",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7898",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z185237",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17031124823",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099268",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSVELIA",
            "last_name": "DEEDS",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Rosemary Antoinette Davis
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• Deeflat LLC
• Deeflat LLC
• Deeflat LLC
• Branden Angelo Demarco, EDS
• Matthew James Dembik

• Clinical Psychologist in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.