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MAYA HEFFERNAN MA
NPI 1780920652
Marriage & Family Therapist in San Diego, CA

Active since December 21, 2012Opted out of Medicare · through Jan 31, 2028
3990 OLD TOWN AVE STE B100, SAN DIEGO, CA 92110(619) 277-1930 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maya Heffernan Ma NPPES

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

MAYA HEFFERNAN MA (NPI 1780920652) is an individual marriage & family therapist in San Diego, California, licensed in California (111639) and active in the NPI registry since December 2012. She has opted out of Medicare through January 31, 2028.

NPPES Registry Identity

NPI1780920652
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMAYA HEFFERNANCredential: MA
Location Address3990 OLD TOWN AVE STE B100San Diego, CA 92110-2967
Mailing Address3990 Old Town Ave Ste B100San Diego, CA 92110-2967 · (619) 277-1930
Phone(619) 277-1930
Sole ProprietorNo
Enumeration DateDecember 21, 2012
Last NPPES UpdateFebruary 16, 2022
NPPES CertifiedFebruary 16, 2022
✔ NPI 1780920652 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 · 111639
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.
3990 OLD TOWN AVE STE B100, San Diego, CA 92110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Maya Heffernan Ma 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 31, 2024 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2024
Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AIMEE CORNELIUS PEARSON PSYD
Psychologist (Clinical)
3990 OLD TOWN AVE STE B100
SAN DIEGO, CA 92110
San Diego County (619) 647-5592

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 Maya Heffernan's NPI number?

The NPI number for Maya Heffernan is 1780920652. It was assigned to this individual provider in the NPPES registry on December 21, 2012.

Where is Maya Heffernan located?

Maya Heffernan practices at 3990 Old Town Ave Ste B100, San Diego, CA 92110. The listed phone number is (619) 277-1930.

What is Maya Heffernan's specialty?

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

Is Maya Heffernan enrolled in Medicare?

No. Maya Heffernan has opted out of Medicare through January 31, 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 Maya Heffernan was last updated on February 16, 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.