1. Home
  2. Directory
  3. New York
  4. Fulton
  5. Psychiatry Neurology
  6. NPI Profile

MARIJA DRAGICA MUTABDZIC MD
NPI 1891803227
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fulton, NY

Active since August 27, 2006PECOS Enrolled

NPPES record last updated: July 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marija Dragica Mutabdzic Md NPPES

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

MARIJA DRAGICA MUTABDZIC MD (NPI 1891803227) is an individual child & adolescent psychiatry provider in Fulton, New York, licensed in New York (260428) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891803227
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameMARIJA DRAGICA MUTABDZICCredential: MD
Location Address98 N 2ND STFulton, NY 13069-1254
Mailing Address4 Country LnOswego, NY 13126-4100 · (315) 216-6995
Phone(315) 326-3555
Sole ProprietorNo
Enumeration DateAugust 27, 2006
Last NPPES UpdateJuly 1, 2011
✔ NPI 1891803227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 260428
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
98 N 2ND ST, Fulton, NY 13069
Open in Google Maps ↗

Other Names 1

Former Name (1)Marija Dragica Zovkic

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marija Dragica Mutabdzic Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

PORTIA RENE ARCHER LCSW
Social Worker
98 N 2ND ST, SUITE 100
FULTON, NY 13069
Oswego County (315) 326-3555
STEPHANIE EMMERT LMSW
Social Worker
98 N 2ND ST
FULTON, NY 13069
Oswego County (315) 326-3555
MR. EDWARD KEVIN MOCK JR. C.M.A.
Nurse's Aide
98 N 2ND ST, SUITE 100
FULTON, NY 13069
Oswego County (315) 326-3555
MRS. ENEARAY BENNETT
Counselor (Mental Health)
98 N 2ND ST
FULTON, NY 13069
Oswego County (315) 326-3555
TAYLOR BURNHAM RN
Registered Nurse
98 N 2ND ST
FULTON, NY 13069
Oswego County (315) 326-3555
DR. KARL FREDERICK HAFNER M.D., M.P.H.
Family Medicine
98 N 2ND ST
FULTON, NY 13069
Oswego County (315) 598-1220
MRS. MAGGIE R OLON LMSW
Social Worker
98 N 2ND ST, STE 100
FULTON, NY 13069
Oswego County (315) 326-3555
JENNIFER LYNN BLAKE LMHC
Counselor (Mental Health)
98 N 2ND ST
FULTON, NY 13069
Oswego County (315) 326-3555

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 Marija Mutabdzic's NPI number?

The NPI number for Marija Mutabdzic is 1891803227. It was assigned to this individual provider in the NPPES registry on August 27, 2006. The provider is also known as Marija Dragica Zovkic.

Where is Marija Mutabdzic located?

Marija Mutabdzic practices at 98 N 2nd St, Fulton, NY 13069. The listed phone number is (315) 326-3555.

What is Marija Mutabdzic's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Marija Mutabdzic enrolled in Medicare?

Yes. Marija Mutabdzic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marija Mutabdzic was last updated on July 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.