Mr Daniel Leon Degoede Sr, PHD - Psychologist in Pioneertown, CA

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Mr Daniel Leon Degoede Sr, PHD is a Psychologist - Clinical based in Pioneertown, California. Mr Daniel Leon Degoede Sr is licensed to practice in California (license number PSY9479) and his current practice location is 5476 Roy Rogers Rd., Ste D, Pioneertown, California. He can be reached at his office (for appointments etc.) via phone at (760) 269-9124.

NPI number for Mr Daniel Leon Degoede Sr is 1619041373 and his current mailing address is Po Box 607, Pioneertown, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619041373.

Contact Information

Mr Daniel Leon Degoede Sr, PHD
5476 Roy Rogers Rd., Ste D,
Pioneertown, CA 92268-0607
(760) 269-9124
(760) 369-9060

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Healthcare Provider's Profile

Full NameMr Daniel Leon Degoede Sr
GenderMale
SpecialityPsychologist - Clinical
Location5476 Roy Rogers Rd., Pioneertown, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619041373
  • Provider Enumeration Date: 11/17/2006
  • Last Update Date: 11/30/2012

Medical Identifiers

Medical identifiers for Mr Daniel Leon Degoede Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619041373NPI-NPPES
PSY9479OtherONE HEALTH PLAN
PSY9479OtherCONNETICUT GENERAL
PSY9479OtherTHE PRUDENTIAL PPM
PW009479OtherMEDICAL
PSY9479OtherBEECH STREET CAPP CARE
00PL94790OtherBLUE SHIELD OF CALIFORNIA
120229000OtherMAGELLAN
33BEEDOtherRIVERSIDE COUNTY MEDICAL
4039309OtherAETNA US HEALTHCARE
5949OtherHOLMAN GROUP
00PL94790OtherNATIONAL HERITAGE MEDICAR
075112OtherCHAMPUS TRICARE
47183OtherCIGNA
6183175OtherUNITED HEALTHCARE UBH
PSY9479OtherBLUE CROSS OF CALIFORNIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY9479 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Daniel Leon Degoede Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Daniel Leon Degoede Sr, PHD
Po Box 607,
Pioneertown, CA 92268-0607

Ph: (760) 369-9124		Mr Daniel Leon Degoede Sr, PHD
5476 Roy Rogers Rd., Ste D,
Pioneertown, CA 92268-0607

Ph: (760) 269-9124

Reviews and Comments


Psychologist in Pioneertown, CA


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