MARY M. MAZAHERI PH.D.
NPI 1164794145
Psychologist - Clinical in Solana Beach, CA
About Mary M. Mazaheri Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY M. MAZAHERI PH.D. (NPI 1164794145) is an individual clinical provider in Solana Beach, California, licensed in California (24102) and active in the NPI registry since February 2012. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mary M. Mazaheri 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 April 1, 2019 through April 1, 2027.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOLANA BEACH, CA 92075
SOLANA BEACH, CA 92075
SOLANA BEACH, CA 92075
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 Mazaheri's NPI number?
The NPI number for Mary Mazaheri is 1164794145. It was assigned to this individual provider in the NPPES registry on February 6, 2012. The provider is also known as Maryam Mehrak Mazaheri Ph.D..
Where is Mary Mazaheri located?
Mary Mazaheri practices at 312 S Cedros Ave Ste 150, Solana Beach, CA 92075. The listed phone number is (760) 297-7335.
What is Mary Mazaheri's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mary Mazaheri enrolled in Medicare?
No. Mary Mazaheri has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Mary Mazaheri was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mary M. Mazaheri, PH.D. · NPI 1164794145
Clinical provider in Solana Beach, California. Individual provider, active in the CMS NPPES registry since February 6, 2012.
## Identity
- **NPI:** 1164794145 (Entity type: Individual)
- **Enumerated:** February 6, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 24102 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 312 S CEDROS AVE, STE 150, Solana Beach, CA 92075-1942
- **Phone:** (760) 297-7335
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** October 12, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1164794145) · Data from the CMS NPPES public registry.