Marie Diaz Varona, PSYD, LP
NPI 1720611148 · Clinical Psychologist · Maple Grove, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marie Diaz Varona, PSYD, LP is a Clinical Psychologist provider in Maple Grove, MN (NPI 1720611148).
Provider details
- NPI number
- 1720611148
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP6508 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 219 Se Main St Ste 400Minneapolis, MN 55414-2151Phone: (612) 886-2524Fax: (612) 886-2538
Registry dates
- Enumerated
- 2020-02-13
- Last updated
- 2020-11-10
- Certified
- 2020-11-10
Frequently asked questions
- What is Marie Diaz Varona's NPI number?
- Marie Diaz Varona's National Provider Identifier (NPI) is 1720611148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marie Diaz Varona's specialty?
- Marie Diaz Varona is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Marie Diaz Varona located?
- Marie Diaz Varona's practice location on file with NPPES is 9555 Upland Ln N, Maple Grove, MN 55369-4485.
- What is Marie Diaz Varona's phone number?
- The practice phone number listed in the NPPES registry for Marie Diaz Varona is (952) 993-1440.
- Does Marie Diaz Varona accept Medicare?
- Marie Diaz Varona is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marie Diaz Varona's NPI active?
- Yes — Marie Diaz Varona's NPI (1720611148) is active in the NPPES registry as of the last update on 2020-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.