Nydia Maritza Medina, PH.D.
NPI 1407912876ActiveIndividual· Psychologist, Clinical· San Jose, CA
Psychologist, Clinical (PH.D.) in San Jose, California, licensed in CA, with an NPI issued in December 2006. Medicare paid $51,398 for services to 24 patients in 2024.
Overview
| NPI | 1407912876 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 29, 2006 |
| Last updated in NPPES | Aug 21, 2024 |
| Certified by provider | Aug 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY20267 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 439 across 3 procedure codes |
| Paid by Medicare | $51,398 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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All 163 clinical psychologists in San Jose · All clinical psychologists in California