Marie A. Diaz Varona, PSYD, LP
NPI 1720611148ActiveIndividual· Psychologist, Clinical· Maple Grove, MN
Psychologist, Clinical (PSYD, LP) in Maple Grove, Minnesota, trained at Ponce School of Medicine (class of 2017). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1720611148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, LP |
| Sole proprietor | Yes |
| NPI issued | Feb 13, 2020 |
| Last updated in NPPES | Nov 10, 2020 |
| Certified by provider | Nov 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP6508 | MN |
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 (MN) |
|---|
Education and affiliations
| Medical school | Ponce School of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Other clinical psychologists in Maple Grove
- 1033585914
- 1134004377
- 1134382914
- 1184920753
- 1386855534
- 1902093834
- 1124490578
- 1205420072
- 1326463944
- 1881372886
- 1972955268
- 1992940746
All 22 clinical psychologists in Maple Grove · All clinical psychologists in Minnesota