Marylin Calzadilla, PSYD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

1530 E Chevy Chase Dr
Suite 204
Glendale, CA 91206-4163

Phone

(310) 325-4415

Fax

(310) 326-3744

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Calzadilla Psychological IncGroup PAC ID 8426210501, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mcalzadilla212191@direct.cshs.org

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

• Calzadilla Psychological Inc

  • Clinical Psychologist
  • Glendale, CA
  • NPI 1083914162
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher J. Charbonnet, M.D., a Professional Corporation

  • Interventional Pain Medicine Physician
  • Glendale, CA
  • NPI 1679785695
  NPD (past)
• Psychological Advances in Coping Education Inc

  • Cognitive & Behavioral Psychologist
  • Palm Desert, CA
  • NPI 1952318586
  NPD (past)
• Westlake Pain Management Medical Associates Inc.

  • Pain Medicine Physician
  • Downey, CA
  • NPI 1982711677
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1700893336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251377",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912251377",
            "telephone_number": "310-325-4415",
            "fax_number": "310-326-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR",
            "address_2": "SUITE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064163",
            "telephone_number": "310-325-4415",
            "fax_number": "310-326-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALZADILLA",
        "first_name": "MARYLIN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calprime Home Health Care
• Caltech Health Services
• Rebecca Calvillo
• Calvin R Devnich DDS Inc
• Calzadilla Psychological Inc
• Karla Arely Camacho
• Omar Camacho
• Vladimir Aratan Camarce, N.P.
• Yoatzin Camarena
• Marinelle Camilon

• Cognitive & Behavioral Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Cognitive & Behavioral Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.