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MARY-JO BAUTISTA M.A.
NPI 1003166380
Psychologist - Clinical in Whittier, CA

Active since September 14, 2012PECOS Enrolled
13715 VIA DEL PALMA AVE, APT G, WHITTIER, CA 90602(808) 292-5693 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary-jo Bautista M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY-JO BAUTISTA M.A. (NPI 1003166380) is an individual clinical provider in Whittier, California, licensed in California (PSY 28789) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003166380
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARY-JO BAUTISTACredential: M.A.
Location Address13715 VIA DEL PALMA AVE, APT GWhittier, CA 90602-2325
Mailing Address13715 Via Del Palma Ave, Apt GWhittier, CA 90602-2325 · (808) 292-5693
Phone(808) 292-5693
Sole ProprietorNo
Enumeration DateSeptember 14, 2012
Last NPPES UpdateDecember 5, 2016
✔ NPI 1003166380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 28789
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
13715 VIA DEL PALMA AVE, Whittier, CA 90602
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary-jo Bautista M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary-jo Bautista's NPI number?

The NPI number for Mary-jo Bautista is 1003166380. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Mary-jo Bautista located?

Mary-jo Bautista practices at 13715 Via Del Palma Ave Apt G, Whittier, CA 90602. The listed phone number is (808) 292-5693.

What is Mary-jo Bautista's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary-jo Bautista enrolled in Medicare?

Yes. Mary-jo Bautista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary-jo Bautista was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.