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MARY KATHERINE MADDOCK
NPI 1457790594
Nurse Practitioner - Psychiatric/Mental Health in Culver City, CA

Active since June 21, 2013
9808 VENICE BLVD, SUITE 700, CULVER CITY, CA 90232(310) 945-3350(310) 945-3356 Get Directions Write a Review

NPPES record last updated: November 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Katherine Maddock NPPES

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

MARY KATHERINE MADDOCK (NPI 1457790594) is an individual psychiatric/mental health provider in Culver City, California, licensed in California (23327) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1457790594
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY KATHERINE MADDOCK
Location Address9808 VENICE BLVD, SUITE 700Culver City, CA 90232-2732
Mailing Address9808 Venice Blvds, Suite 700Culver City, CA 90232 · (310) 945-3350 · Fax (310) 945-3356
Phone(310) 945-3350
Fax(310) 945-3356
Sole ProprietorYes
Enumeration DateJune 21, 2013
Last NPPES UpdateNovember 26, 2021
NPPES CertifiedNovember 26, 2021
✔ NPI 1457790594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 23327
9808 VENICE BLVD, Culver City, CA 90232
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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.

JOSEPH A DERIJE NP
Nurse Practitioner (Psychiatric/Mental Health)
9808 VENICE BLVD, SUITE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
HENRY P DURAZO
Rehabilitation Practitioner
9808 VENICE BLVD, SUITE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
SOLEDAD VERGARA
Rehabilitation Practitioner
9808 VENICE BLVD, SUITE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
CHERRYL DIOM
Registered Nurse (Psychiatric/Mental Health)
9808 VENICE BLVD, STE. 505
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
LAUREN MCFARLAND
Rehabilitation Practitioner
9808 VENICE BLVD, STE. 505
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
SHERRI BETHELMY
Rehabilitation Practitioner
9808 VENICE BLVD
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
JANINE RENEE STEWART
Rehabilitation Practitioner
9808 VENICE BLVD
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
TERRIE ADDISON
Community Health Worker
9808 VENICE BLVD, 505
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350

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 Maddock's NPI number?

The NPI number for Mary Maddock is 1457790594. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Mary Maddock located?

Mary Maddock practices at 9808 Venice Blvd Suite 700, Culver City, CA 90232. The listed phone number is (310) 945-3350.

What is Mary Maddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mary Maddock was last updated on November 26, 2021. 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.