MATTHEW ALEXANDER THIBEAULT
NPI 1881027720
Psychologist - Clinical in San Diego, CA

Q: What is Matthew Thibeault's NPI number?

The NPI number for Matthew Thibeault is 1881027720. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Q: What is Matthew Thibeault's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Matthew Thibeault enrolled in Medicare?

No. Matthew Thibeault has opted out of Medicare through April 1, 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.

Q: When was this NPI record last updated?

The NPPES record for Matthew Thibeault was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 14, 2013Opted out of Medicare · through Apr 1, 2028

7901 FROST ST, SAN DIEGO, CA 92123(760) 935-6522 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Matthew Alexander Thibeault NPPES

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

MATTHEW ALEXANDER THIBEAULT (NPI 1881027720) is an individual clinical provider in San Diego, California, licensed in California (30494) and active in the NPI registry since August 2013. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881027720

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMATTHEW ALEXANDER THIBEAULT

Location Address7901 FROST STSan Diego, CA 92123-2701

Mailing Address153 S Sierra Ave Unit 1172Solana Beach, CA 92075-8048 · (760) 935-6522 · Fax (760) 935-6522

Phone(760) 935-6522

Sole ProprietorNo

Enumeration DateAugust 14, 2013

Last NPPES UpdateJune 13, 2024

NPPES CertifiedJune 13, 2024

✔ NPI 1881027720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 30494

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

7901 FROST ST, San Diego, CA 92123

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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

Matthew Alexander Thibeault 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 April 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020

Opt-Out In Effect ThroughApril 1, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOANNA PARK

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