Matianna Baldassari, MA, LMFT

Individual provider Active NPI Marriage & Family Therapist · Ojai, CA

NPI 1770848947 · NPPES record last updated Nov 11, 2023

Key facts

NPI
1770848947
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
93379 (CA)
Practice address
206 Gridley Rd
Ojai, CA 93023-9624
Phone
(805) 633-0006
Fax
(805) 633-0007
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Marriage & Family Therapy Network, a Professional Corporation Marriage & Family Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 93379 CA Yes

Addresses

Primary practice location

206 Gridley Rd
Ojai, CA 93023-9624

Mailing address

1129 Maricopa Hwy # 185a
Ojai, CA 93023-3126
Phone (805) 633-0006

Other providers in Ojai, CA

All providers in Ojai, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.