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PATRICK DAVEY TULLY MA, LMFT
NPI 1285100925
Marriage & Family Therapist in Los Angeles, CA

Active since October 21, 2018Opted out of Medicare · through Jan 1, 2028
11500 W OLYMPIC BLVD STE 400, LOS ANGELES, CA 90064(323) 819-0747 Get Directions Write a Review

NPPES record last updated: March 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2023, Jun 2, 2021, Aug 31, 2019 and 3 more (6 updates tracked since 2018).

About Patrick Davey Tully Ma, Lmft NPPES

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

PATRICK DAVEY TULLY MA, LMFT (NPI 1285100925) is an individual marriage & family therapist in Los Angeles, California, licensed in California (115115) and active in the NPI registry since October 2018. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1285100925
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NamePATRICK DAVEY TULLYCredential: MA, LMFT
Location Address11500 W OLYMPIC BLVD STE 400Los Angeles, CA 90064-1525
Mailing Address10866 Washington Blvd # 1329Culver City, CA 90232-3610 · (323) 819-0747
Phone(323) 819-0747
Sole ProprietorNo
Enumeration DateOctober 21, 2018
Last NPPES UpdateMarch 20, 20226 updates tracked since enumeration
NPPES CertifiedMarch 20, 2022
✔ NPI 1285100925 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 · 115115
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.
11500 W OLYMPIC BLVD STE 400, Los Angeles, CA 90064
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Patrick Davey Tully Ma, Lmft 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

JORDAN GOODE LCSW
Social Worker (Clinical)
11500 W OLYMPIC BLVD STE 400
LOS ANGELES, CA 90064
Los Angeles County (323) 990-2128
LARSEN & WILLIAMS BEHAVIORAL CONSULTANTS INC
Behavior Analyst
11500 W OLYMPIC BLVD STE 400
LOS ANGELES, CA 90064
Los Angeles County (323) 331-8988
EMENTALHEALTHCENTER INC
Psychologist (Clinical)
11500 W OLYMPIC BLVD STE 400
LOS ANGELES, CA 90064
Los Angeles County (310) 621-4755
BARBARA MOROZ SCHWARZ MS AMFT
Marriage & Family Therapist
11500 W OLYMPIC BLVD STE 400
LOS ANGELES, CA 90064
Los Angeles County (424) 234-3336
SHAINA KESHMIR AMFT
Marriage & Family Therapist
11500 W OLYMPIC BLVD STE 400
LOS ANGELES, CA 90064
Los Angeles County (747) 205-0896
KATE C ETTINGER MFT TRAINEE
Marriage & Family Therapist
11500 W OLYMPIC BLVD STE 400
LOS ANGELES, CA 90064
Los Angeles County (303) 335-0996
HANDS ON HEALTH, PC
Clinic/Center
11500 W OLYMPIC BLVD STE 400
LOS ANGELES, CA 90064
Los Angeles County (424) 410-1736
DR. ELIZABETH JOY FARR PHD
Psychologist (Clinical)
11500 W OLYMPIC BLVD STE 400
LOS ANGELES, CA 90064
Los Angeles County (310) 842-7602

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 Patrick Tully's NPI number?

The NPI number for Patrick Tully is 1285100925. It was assigned to this individual provider in the NPPES registry on October 21, 2018.

Where is Patrick Tully located?

Patrick Tully practices at 11500 W Olympic Blvd Ste 400, Los Angeles, CA 90064. The listed phone number is (323) 819-0747.

What is Patrick Tully's specialty?

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

Is Patrick Tully enrolled in Medicare?

No. Patrick Tully has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Patrick Tully accept?

Health plans from UnitedHealthcare list Patrick Tully as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patrick Tully was last updated on March 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.