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MS. MARY THERESA DEGGELMAN
NPI 1043467541
Marriage & Family Therapist in Pleasanton, CA

Active since August 26, 2008Opted out of Medicare · through Jan 1, 2028
1045 RIESLING DR, PLEASANTON, CA 94566(925) 519-0673(925) 461-0753 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Theresa Deggelman NPPES

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

MS. MARY THERESA DEGGELMAN (NPI 1043467541) is an individual marriage & family therapist in Pleasanton, California, licensed in California (53478) and active in the NPI registry since August 2008. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1043467541
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. MARY THERESA DEGGELMAN
Location Address1045 RIESLING DRPleasanton, CA 94566-7221
Mailing Address1045 Riesling DrPleasanton, CA 94566-7221 · (925) 519-0673 · Fax (925) 461-0753
Phone(925) 519-0673
Fax(925) 461-0753
Sole ProprietorNo
Enumeration DateAugust 26, 2008
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1043467541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 53478
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1045 RIESLING DR, Pleasanton, CA 94566
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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

Ms. Mary Theresa Deggelman 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Deggelman's NPI number?

The NPI number for Mary Deggelman is 1043467541. It was assigned to this individual provider in the NPPES registry on August 26, 2008.

Where is Mary Deggelman located?

Mary Deggelman practices at 1045 Riesling Dr, Pleasanton, CA 94566. The listed phone number is (925) 519-0673.

What is Mary Deggelman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mary Deggelman enrolled in Medicare?

No. Mary Deggelman has opted out of Medicare through January 1, 2028. 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 Mary Deggelman was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.