DR. MARY CHRISTINE GAZULIS PHD
NPI 1912089483
Psychologist - Clinical in San Rafael, CA

Q: What is Mary Gazulis's NPI number?

The NPI number for Mary Gazulis is 1912089483. It was assigned to this individual provider in the NPPES registry on October 20, 2006. The provider is also known as Mary Christine Gazulis.

Q: What is Mary Gazulis's specialty?

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

Q: Is Mary Gazulis enrolled in Medicare?

No. Mary Gazulis has opted out of Medicare through August 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mary Gazulis was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 20, 2006Opted out of Medicare · through Aug 5, 2027

711 D ST STE 207, SAN RAFAEL, CA 94901(415) 646-0822(415) 435-6586 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Mary Christine Gazulis Phd NPPES

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

DR. MARY CHRISTINE GAZULIS PHD (NPI 1912089483) is an individual clinical provider in San Rafael, California, licensed in California (PSY17571) and active in the NPI registry since October 2006. She has opted out of Medicare through August 5, 2027.

NPPES Registry Identity

NPI1912089483

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARY CHRISTINE GAZULISCredential: PHD

Location Address711 D ST STE 207San Rafael, CA 94901-3704

Mailing Address711 D St Ste 207San Rafael, CA 94901-3704 · (415) 646-0822 · Fax (415) 435-6586

Phone(415) 646-0822

Fax(415) 435-6586

Sole ProprietorYes

Enumeration DateOctober 20, 2006

Last NPPES UpdateSeptember 11, 2025

NPPES CertifiedSeptember 11, 2025

✔ NPI 1912089483 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 · PSY17571

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.

Other Names 1

Other Name (5)Mary Christine Gazulis

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Christine Gazulis Phd 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 August 5, 2025 through August 5, 2027.

Opt-Out Effective DateAugust 5, 2025

Opt-Out In Effect ThroughAugust 5, 2027Opt-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.

ADAM COHEN MA, LMFT, PCCI

Marriage & Family Therapist

711 D ST STE 207
SAN RAFAEL, CA 94901

Marin County (415) 967-3620

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 Gazulis's NPI number?

The NPI number for Mary Gazulis is 1912089483. It was assigned to this individual provider in the NPPES registry on October 20, 2006. The provider is also known as Mary Christine Gazulis.

Where is Mary Gazulis located?

Mary Gazulis practices at 711 D St Ste 207, San Rafael, CA 94901. The listed phone number is (415) 646-0822.

What is Mary Gazulis's specialty?

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

Is Mary Gazulis enrolled in Medicare?

No. Mary Gazulis has opted out of Medicare through August 5, 2027. 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 Mary Gazulis was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.