MS. MARY J TICHACEK RN, PMHNP-BC, PMHCNS
NPI 1841836244
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
About Ms. Mary J Tichacek Rn, Pmhnp-bc, Pmhcns NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY J TICHACEK RN, PMHNP-BC, PMHCNS (NPI 1841836244) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95024198) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Imperial, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Mary J Tichacek Rn, Pmhnp-bc, Pmhcns 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92130 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92130
SAN DIEGO, CA 92130
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 Tichacek's NPI number?
The NPI number for Mary Tichacek is 1841836244. It was assigned to this individual provider in the NPPES registry on November 20, 2019. The provider is also known as Ms. Mary Jo Tichacek.
Where is Mary Tichacek located?
Mary Tichacek practices at 11515 El Camino Real Ste 100, San Diego, CA 92130. The listed phone number is (858) 279-1223.
What is Mary Tichacek's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mary Tichacek enrolled in Medicare?
Yes. Mary Tichacek 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.
When was this NPI record last updated?
The NPPES record for Mary Tichacek was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Ms. Mary J Tichacek, RN, PMHNP-BC, PMHCNS · NPI 1841836244
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since November 20, 2019.
## Identity
- **NPI:** 1841836244 (Entity type: Individual)
- **Enumerated:** November 20, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95024198 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11515 EL CAMINO REAL STE 100, San Diego, CA 92130-3034
- **Phone:** (858) 279-1223
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1841836244) · Data from the CMS NPPES public registry.