Patrick Davey Tully, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

115115 Issued in CA

Practice address

3685 Motor Ave Ste 220
Los Angeles, CA 90034-5746

Phone

(323) 819-0747

NPI assigned

Oct 21, 2018

Reactivated

Jun 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Patrick Tully Licensed Marriage and Family Therapist Inc

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1427624121
  NPD Authorized official

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1285100925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10866 WASHINGTON BLVD # 1329",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "323-819-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 MOTOR AVE STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345746",
            "telephone_number": "323-819-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "PATRICK",
        "middle_name": "DAVEY",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-21",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "deactivation_date": "2018-11-02",
        "reactivation_date": "2019-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115115",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "TPMF163",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianka Tulgar, PT
• Kathryn Anne Tull, PSY.D., LMFT
• Allan W. Tulloch, M.D.
• Jaclyn Tully, M.A., LMFT
• Patrice Arlene Tully, M.D.
• Anil Tulpule, M.D.
• Varsha Tulpule, M.D.
• Asthik Tumanyan, DDS
• Erica L Tumbaga
• Paul Camille Tumeh, M.D.

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.