MRS. DOREEN ROHEIL MALLER MFTI
NPI 1821212093
Marriage & Family Therapist in San Mateo, CA

Active since April 12, 2007Opted out of Medicare · through Jan 2, 2028
1670 S AMPHLETT BLVD, #115, SAN MATEO, CA 94402(650) 294-2621(650) 349-1103 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Doreen Roheil Maller Mfti NPPES

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

MRS. DOREEN ROHEIL MALLER MFTI (NPI 1821212093) is an individual marriage & family therapist in San Mateo, California, licensed in California (46655) and active in the NPI registry since April 2007. She has opted out of Medicare through January 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821212093
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. DOREEN ROHEIL MALLERCredential: MFTI
Location Address1670 S AMPHLETT BLVD, #115San Mateo, CA 94402
Mailing AddressPo Box 1312Burlingame, CA 94011 · (650) 576-3565 · Fax (650) 342-8281
Fax(650) 349-1103
Sole ProprietorNo
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1821212093 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 · 46655
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.
1670 S AMPHLETT BLVD, San Mateo, CA 94402

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Doreen Roheil Maller Mfti 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 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Counselor (Mental Health)
1670 S AMPHLETT BLVD, SUITE 115
SAN MATEO, CA 94402
Marriage & Family Therapist
1670 S AMPHLETT BLVD, SUITE 115
SAN MATEO, CA 94402
Physical Therapist
1670 S AMPHLETT BLVD, SUITE123
SAN MATEO, CA 94402
Marriage & Family Therapist
1670 S AMPHLETT BLVD, SUITE 115
SAN MATEO, CA 94402
Marriage & Family Therapist
1670 S AMPHLETT BLVD
SAN MATEO, CA 94402
Marriage & Family Therapist
1670 S AMPHLETT BLVD, SUITE 115
SAN MATEO, CA 94402
Physical Therapist
1670 S AMPHLETT BLVD, SUITE 123
SAN MATEO, CA 94402
Physical Therapist
1670 S AMPHLETT BLVD, SUITE123
SAN MATEO, CA 94402

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 Doreen Maller's NPI number?

The NPI number for Doreen Maller is 1821212093. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Doreen Maller located?

Doreen Maller practices at 1670 S Amphlett Blvd #115, San Mateo, CA 94402. The listed phone number is (650) 294-2621.

What is Doreen Maller's specialty?

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

Is Doreen Maller enrolled in Medicare?

No. Doreen Maller has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Doreen Maller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.