Individual provider Active NPI

Marisa Caratachea

  • Marriage & Family Therapist
  • Modesto, CA
National Provider Identifier
1184098071
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120665 Issued in CA
Practice address
251 E Hackett Rd
Modesto, CA 95358-9800
Phone
(209) 558-3647
Fax
(209) 558-3962
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 120665 CA Primary

Addresses

Primary practice location

251 E Hackett Rd
Modesto, CA 95358-9800

Mailing address

251 E Hackett Rd
Modesto, CA 95358-9800
Phone (209) 558-3647

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241120004300 CA Practitioner - Marriage and Family Therapist 8325573835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tuolumne Me-Wuk Indian Health Center Inc 24 clinicians
Brightside Medical PC 274 clinicians

Practice addresses (Care Compare)

18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506
Phone (209) 928-5400

2029 Century Park E
Suite 400 Office 478
Los Angeles, CA 90067-2957
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tuolumne Mewuk Indian Health Center, Inc Current Accepting new patients
Tuolumne Me-Wuk Indian Health Center, Inc. CurrentSince Aug 29, 2024 Accepting new patients
Brightside Medical, P.C. CurrentSince Jul 1, 2025 Accepting new patients

Locations

2029 Century Park E
Ste 400
Los Angeles, CA 90067
Phone (213) 463-6426

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

19969 Greenley Rd
Ste A
Sonora, CA 95370
Phone (209) 928-5400

18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400

Interoperability endpoints

  • Direct secure messaging: marisa.caratachea.p1@direct.tmwihc.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1184098071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E HACKETT RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953589800",
            "telephone_number": "209-558-3647",
            "fax_number": "209-558-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HACKETT RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953589800",
            "telephone_number": "209-558-3647",
            "fax_number": "209-558-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARATACHEA",
        "first_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.