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GREGGORY TYLER MAYNE
NPI 1851529648
Marriage & Family Therapist in Petaluma, CA

Active since June 30, 2009Opted out of Medicare · through Nov 12, 2026
5350 OLD REDWOOD HWY N, SUITE 600, PETALUMA, CA 94954(707) 565-4420 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2026, May 5, 2021, Nov 13, 2019 (3 updates tracked since 2019).

About Greggory Tyler Mayne NPPES

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

GREGGORY TYLER MAYNE (NPI 1851529648) is an individual marriage & family therapist in Petaluma, California, licensed in California (115984) and active in the NPI registry since June 2009. He has opted out of Medicare through November 12, 2026.

NPPES Registry Identity

NPI1851529648
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameGREGGORY TYLER MAYNE
Location Address5350 OLD REDWOOD HWY N, SUITE 600Petaluma, CA 94954
Mailing Address5350 Old Redwood Hwy N, Suite 600Petaluma, CA 94954 · (707) 565-4420
Phone(707) 565-4420
Sole ProprietorNo
Enumeration DateJune 30, 2009
Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1851529648 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 · 115984
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.
5350 OLD REDWOOD HWY N, Petaluma, CA 94954
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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

Greggory Tyler Mayne 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 November 12, 2024 through November 12, 2026.

Opt-Out Effective DateNovember 12, 2024
Opt-Out In Effect ThroughNovember 12, 2026Opt-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.

ROB BOWMAN LMFT
Marriage & Family Therapist
5350 OLD REDWOOD HWY N
PETALUMA, CA 94954
Sonoma County (760) 563-8762

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 Greggory Mayne's NPI number?

The NPI number for Greggory Mayne is 1851529648. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Greggory Mayne located?

Greggory Mayne practices at 5350 Old Redwood Hwy N Suite 600, Petaluma, CA 94954. The listed phone number is (707) 565-4420.

What is Greggory Mayne's specialty?

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

Is Greggory Mayne enrolled in Medicare?

No. Greggory Mayne has opted out of Medicare through November 12, 2026. 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 Greggory Mayne was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.