MARY O'HERN MATULICH
NPI 1215477609
Marriage & Family Therapist in San Diego, CA

Q: 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.

Q: What is Mary Matulich's specialty?

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

Q: 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.

Active since March 03, 2017PECOS Enrolled

402 W BROADWAY STE 400, SAN DIEGO, CA 92101(866) 478-3978 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, May 8, 2024, Sep 28, 2020 and 1 more (4 updates tracked since 2017).

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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

NPI1215477609

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARY O'HERN MATULICH

Location Address402 W BROADWAY STE 400San Diego, CA 92101-3554

Mailing Address402 W Broadway Ste 400San Diego, CA 92101-3554 · (866) 478-3978

Phone(866) 478-3978

Sole ProprietorNo

Enumeration DateMarch 3, 2017

Last NPPES UpdateJune 28, 20244 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1215477609 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 · LMFT121866

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.

402 W BROADWAY STE 400, San Diego, CA 92101

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Other Names 1

Other Name (5)Mary O'hern

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary O'hern Matulich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

AMANDA ELIZONDO-FESSLER

Marriage & Family Therapist