Mary G. Comperini, PSY.D., ABPP
Individual provider Active NPI Clinical Psychologist · Morro Bay, CA
NPI 1750656294 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1750656294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY-24469 (CA)
- Practice address
- 630 Quintana Rd # 108
Morro Bay, CA 93442-1939 - Phone
- (920) 470-4848
- NPI assigned
- Mar 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-24469 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Clinical Psychologist | 103TC0700X | PSY-24469 | CA | Yes |
| Counseling Psychologist | 103TC1900X | PSY-24469 | CA | |
| Forensic Psychologist | 103TF0200X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X |
Addresses
Primary practice location
630 Quintana Rd # 108
Morro Bay, CA 93442-1939
Mailing address
630 Quintana Rd # 108
Morro Bay, CA 93442-1939
Other providers in Morro Bay, CA
- CMG Medical Group, Inc.
- Community Health Centers of the Central Coast Inc
- Community Health Centers of the Central Coast,Inc
- Compass Health Inc
- Compass Health Inc
- Kimberly Frances Conforti
- Marissa Marie Cotroneo
- County of San Luis Obispo
- County of San Luis Obispo
- Amy Marie Cresswell
All providers in Morro Bay, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.