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MOBY COQUILLARD
NPI 1508423872
Marriage & Family Therapist in San Mateo, CA

Active since May 22, 2019Opted out of Medicare · through Jan 1, 2028
1777 BOREL PL STE 214, SAN MATEO, CA 94402(650) 348-2797 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moby Coquillard NPPES

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

MOBY COQUILLARD (NPI 1508423872) is an individual marriage & family therapist in San Mateo, California, licensed in California (LMFT28341) and active in the NPI registry since May 2019. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1508423872
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMOBY COQUILLARD
Location Address1777 BOREL PL STE 214San Mateo, CA 94402-3511
Mailing Address1777 Borel Pl Ste 214San Mateo, CA 94402-3511 · (650) 348-2797
Phone(650) 348-2797
Sole ProprietorYes
Enumeration DateMay 22, 2019
✔ NPI 1508423872 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 · LMFT28341
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.
1777 BOREL PL STE 214, San Mateo, CA 94402
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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

Moby Coquillard 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

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 Moby Coquillard's NPI number?

The NPI number for Moby Coquillard is 1508423872. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Moby Coquillard located?

Moby Coquillard practices at 1777 Borel Pl Ste 214, San Mateo, CA 94402. The listed phone number is (650) 348-2797.

What is Moby Coquillard's specialty?

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

Is Moby Coquillard enrolled in Medicare?

No. Moby Coquillard 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.

When was this NPI record last updated?

The NPPES record for Moby Coquillard was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.