Marjorie Coburn, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY8758 Issued in CA

Practice address

1633 Nautilus St
La Jolla, CA 92037-6412

Phone

(858) 456-5065

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marjorie Coburn, PH.D.

  • Psychologist
  • La Jolla, CA
  • NPI 1639373491
  NPD (past) Authorized official
• Yanira Olaya M.D., Inc.

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1538448725
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1134337066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 NAUTILUS ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376412",
            "telephone_number": "858-456-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 NAUTILUS ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376412",
            "telephone_number": "858-456-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "MARJORIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY8758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast Urology Medical Group, Inc
• Coastal ENT Medical Group Inc
• Coastal Medical and Cosmetic Dermatology Inc
• Coastal Neurological Medical Group
• Gavin Drew Cobb, DO
• Alvin Bob Coda, M.D.
• Daniel J Coden, MD
• Stephanie Coffin, OTD, OTR/L
• Heidi Coggan, RDHAP
• Phillip Daniel Cohen-Lyons, M.D.

• Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.