DR. MARJORIE COBURN PH.D.
NPI 1134337066
Psychologist in La Jolla, CA

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
1633 NAUTILUS ST, LA JOLLA, CA 92037(858) 456-5065 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marjorie Coburn Ph.d. NPPES

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

DR. MARJORIE COBURN PH.D. (NPI 1134337066) is an individual psychologist in La Jolla, California, licensed in California (PSY8758) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1134337066
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARJORIE COBURNCredential: PH.D.
Location Address1633 NAUTILUS STLa Jolla, CA 92037-6412
Mailing Address1633 Nautilus StLa Jolla, CA 92037-6412 · (858) 456-5065
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateMay 21, 2007
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
NPI 1134337066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY8758
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1633 NAUTILUS ST, La Jolla, CA 92037

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Marjorie Coburn Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901952308
PECOS Enrollment IDI20090928000322
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.

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 Marjorie Coburn's NPI number?

The NPI number for Marjorie Coburn is 1134337066. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Marjorie Coburn located?

Marjorie Coburn practices at 1633 Nautilus St, La Jolla, CA 92037. The listed phone number is (858) 456-5065.

What is Marjorie Coburn's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Marjorie Coburn enrolled in Medicare?

Yes. Marjorie Coburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marjorie Coburn was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.