MARY CHERUB TAGLE PSYD
NPI 1790011492
Psychologist - Clinical in Los Angeles, CA
About Mary Cherub Tagle Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY CHERUB TAGLE PSYD (NPI 1790011492) is an individual clinical provider in Los Angeles, California, licensed in California (34032) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Cherub Tagle Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Tagle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Thousand Oaks, CA 91320
- Reassigned Medicare billing, California enrollment
- 86 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90026
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 Tagle's NPI number?
The NPI number for Mary Tagle is 1790011492. It was assigned to this individual provider in the NPPES registry on October 30, 2009. The provider is also known as Mary Miguel M.A..
Where is Mary Tagle located?
Mary Tagle practices at 2121 W Temple St, Los Angeles, CA 90026. The listed phone number is (213) 260-7600.
What is Mary Tagle's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mary Tagle enrolled in Medicare?
Yes. Mary Tagle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Tagle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Tagle reassigns Medicare benefits to 2 organizations: Thriveworks Clinical - California PC (Thousand Oaks, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Tagle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Tagle was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mary Cherub Tagle, PSYD · NPI 1790011492
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 30, 2009.
## Identity
- **NPI:** 1790011492 (Entity type: Individual)
- **Enumerated:** October 30, 2009
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 34032 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2121 W TEMPLE ST, Los Angeles, CA 90026-4915
- **Phone:** (213) 260-7600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thriveworks Clinical - California PC (NPI 1801481395, Thousand Oaks, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 13, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1790011492) · Data from the CMS NPPES public registry.