MISS JACLYN NEMATBAKHSH
NPI 1225320229
Marriage & Family Therapist in San Diego, CA

Q: What is Jaclyn Nematbakhsh's NPI number?

The NPI number for Jaclyn Nematbakhsh is 1225320229. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Q: What is Jaclyn Nematbakhsh's specialty?

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

Q: Is Jaclyn Nematbakhsh enrolled in Medicare?

No. Jaclyn Nematbakhsh has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since May 09, 2011Opted out of Medicare · through Jan 2, 2028

2423 CAMINO DEL RIO S STE 101, SAN DIEGO, CA 92108(619) 880-6427 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Jaclyn Nematbakhsh NPPES

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

MISS JACLYN NEMATBAKHSH (NPI 1225320229) is an individual marriage & family therapist in San Diego, California, licensed in California (93586) and active in the NPI registry since May 2011. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1225320229

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMISS JACLYN NEMATBAKHSH

Location Address2423 CAMINO DEL RIO S STE 101San Diego, CA 92108-3734

Mailing Address2423 Camino Del Rio S Ste 101San Diego, CA 92108-3734 · (619) 880-6427

Phone(619) 880-6427

Sole ProprietorNo

Enumeration DateMay 9, 2011

Last NPPES UpdateApril 15, 2020

NPPES CertifiedApril 15, 2020

✔ NPI 1225320229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 93586✔ Licensed in CA · 72479

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.

2423 CAMINO DEL RIO S STE 101, San Diego, CA 92108

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Miss Jaclyn Nematbakhsh 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 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024

Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

SHANNON O'CONNOR

Marriage & Family Therapist