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Diane Carole Petroni, PHD MFT

NPI 1235335951ActiveIndividual· Psychologist, Psychoanalysis· San Jose, CA

Opted out of Medicare from June 2024 to June 2028. Psychologist, Psychoanalysis (PHD MFT) in San Jose, California, licensed in CA, with an NPI issued in June 2007.

Overview

NPI1235335951
StatusActive
Entity typeIndividual
CredentialPHD MFT
Sole proprietorNo
NPI issuedJun 21, 2007
Last updated in NPPESSep 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Psychoanalysis Primary103TP0814XMFC17004CA
Marriage & Family Therapist106H00000XMFC17004CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jun 18, 2024 – Jun 18, 2028
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

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