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
Mailing address540 S Eremland Dr, Covina, CA 91723-3186

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