MARY O'HERN MATULICH
NPI 1215477609
Marriage & Family Therapist in San Diego, CA
About Mary O'hern Matulich NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY O'HERN MATULICH (NPI 1215477609) is an individual marriage & family therapist in San Diego, California, licensed in California (LMFT121866) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary O'hern Matulich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Matulich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92101
- Reassigned Medicare billing, California enrollment
- 545 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92101
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 Matulich's NPI number?
The NPI number for Mary Matulich is 1215477609. It was assigned to this individual provider in the NPPES registry on March 3, 2017. The provider is also known as Mary O'hern.
Where is Mary Matulich located?
Mary Matulich practices at 402 W Broadway Ste 400, San Diego, CA 92101. The listed phone number is (866) 478-3978.
What is Mary Matulich's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Mary Matulich enrolled in Medicare?
Yes. Mary Matulich is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Matulich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Matulich reassigns Medicare benefits to Cyti Health PC (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Matulich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Matulich was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 O'hern Matulich · NPI 1215477609
Marriage & Family Therapist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since March 3, 2017.
## Identity
- **NPI:** 1215477609 (Entity type: Individual)
- **Enumerated:** March 3, 2017
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LMFT121866 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 402 W BROADWAY STE 400, San Diego, CA 92101-3554
- **Phone:** (866) 478-3978
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cyti Health PC (NPI 1679172290, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215477609) · Data from the CMS NPPES public registry.