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DR. MARIBEL PERAZA BRADBERRY PH.D.
NPI 1023261898
Psychologist - Clinical in Solana Beach, CA

Active since October 24, 2008Opted out of Medicare · through Sep 7, 2027
125 N ACACIA AVE STE 107, SOLANA BEACH, CA 92075(858) 345-6169 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Maribel Peraza Bradberry Ph.d. NPPES

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

DR. MARIBEL PERAZA BRADBERRY PH.D. (NPI 1023261898) is an individual clinical provider in Solana Beach, California, licensed in California (PSY21806) and active in the NPI registry since October 2008. She has opted out of Medicare through September 7, 2027.

NPPES Registry Identity

NPI1023261898
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARIBEL PERAZA BRADBERRYCredential: PH.D.
Location Address125 N ACACIA AVE STE 107Solana Beach, CA 92075-1177
Mailing Address125 N Acacia Ave Ste 107Solana Beach, CA 92075-1177 · (858) 345-6169
Phone(858) 345-6169
Sole ProprietorYes
Enumeration DateOctober 24, 2008
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1023261898 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 · PSY21806
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.
125 N ACACIA AVE STE 107, Solana Beach, CA 92075
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Maribel Peraza Bradberry Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 7, 2023 through September 7, 2027.

Opt-Out Effective DateSeptember 7, 2023
Opt-Out In Effect ThroughSeptember 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92075 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA PARISA MANN D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
125 N ACACIA AVE STE 107
SOLANA BEACH, CA 92075
San Diego County (858) 215-1667
ANDREA MANN, DO, PROFESSIONAL MEDICAL CORPORATION
Psychiatry & Neurology (Child & Adolescent Psychiatry)
125 N ACACIA AVE STE 107
SOLANA BEACH, CA 92075
San Diego County (858) 215-1667

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 Maribel Peraza Bradberry's NPI number?

The NPI number for Maribel Peraza Bradberry is 1023261898. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Where is Maribel Peraza Bradberry located?

Maribel Peraza Bradberry practices at 125 N Acacia Ave Ste 107, Solana Beach, CA 92075. The listed phone number is (858) 345-6169.

What is Maribel Peraza Bradberry's specialty?

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

Is Maribel Peraza Bradberry enrolled in Medicare?

No. Maribel Peraza Bradberry has opted out of Medicare through September 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Maribel Peraza Bradberry was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.