Mary Katherine Maddock
Nurse Practitioner - Psych/Mental Health
9808 Venice Blvd, Suite 700, Culver City
California, 90232-2732
310-945-3350
May or may not accept Medicare Nurse Anesthetist in Culver City, California.Mary Katherine Maddock is a Culver City, California based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mary Katherine Maddock is 23327 for Psych/Mental Health in California. Her current practice location is 9808 Venice Blvd, Suite 700, Culver City. Patients can reach her at 310-945-3350 or can fax her at 310-945-3356 with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1457790594.
Mary Katherine Maddock provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mary Katherine Maddock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary Katherine Maddock |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Practice Address: | 9808 Venice Blvd, Suite 700, Culver City, California, 90232-2732 |
| Phone: | 310-945-3350 |
| Fax: | 310-945-3356 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1457790594 |
| NPI Enumeration Date: | 21 Jun, 2013 |
| NPI Last Update On: | 26 Nov, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Katherine Maddock are as mentioned below.
| License Number | Specialization | State | Status | |
| 23327 | Psych/Mental Health | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary Katherine Maddock 9808 Venice Blvds, Suite 700 Culver City, California |
| Zip: | 90232 |
| Phone Number: | 310-945-3350 |
| Fax Number: | 310-945-3356 |
Patients can reach Mary Katherine Maddock at
9808 Venice Blvd, Suite 700, Culver City, California or can
call to book an appointment on 310-945-3350.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.