Individual provider Active NPI

Patricia Patitucci Smith, LMFT

  • Marriage & Family Therapist
  • Marina, CA
National Provider Identifier
1245525237
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41139 Issued in CA
Practice address
3043 Macarthur Dr
Marina, CA 93933-4763
Phone
(831) 717-8802
NPI assigned
Jun 17, 2011
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 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 41139 CA Primary

Addresses

Primary practice location

3043 Macarthur Dr
Marina, CA 93933-4763

Mailing address

3043 Macarthur Dr
Marina, CA 93933-4763
Phone (831) 717-8802

Other names 1

  • Patricia Smith Other name

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
I20251119002099 CA Practitioner - Marriage and Family Therapist 6901397769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

604 Pearl St
Monterey, CA 93940-3070

617 Bayonet Cir
Marina, CA 93933-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41139CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interim, Inc. Current Accepting new patients
Interim, Incorporated CurrentSince Sep 16, 2025 Accepting new patients
Interim, Inc. CurrentSince Sep 16, 2025 Accepting new patients

Locations

41 E San Luis St
Salinas, CA 93901
Phone (831) 676-3715

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1245525237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 MACARTHUR DR",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939334763",
            "telephone_number": "831-717-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 MACARTHUR DR",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939334763",
            "telephone_number": "831-717-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "middle_name": "PATITUCCI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "SMITH",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marina, CA

Sources for this page

Verify at the official NPI Registry.