Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dino Petruzzi

Individual provider Marriage & Family Therapist · NPI 1477953834

Dino Petruzzi is a Mental Health Counselor in Covina, California. Qualified in 2015, 11 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

540 S Eremland Dr
Covina, CA 91723-3186
Phone: (626) 966-1577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 119985 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 88906 (CA)

Record details

NPI number1477953834
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2014
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Covina