Mary Buzzetta, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37981 Issued in TX

Practice address

136 Old San Antonio Rd Ste 205
Boerne, TX 78006-3339

Phone

(210) 934-0983

NPI assigned

Feb 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mary E Belsom Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• University of Texas Health Science Center at San Antonio

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717
  Medicare reassignment NPD
• The University of Texas Health Science Center at San Antonio

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1003513375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 OLD SAN ANTONIO RD STE 205",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063339",
            "telephone_number": "210-934-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 OLD SAN ANTONIO RD STE 205",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063339",
            "telephone_number": "210-934-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZZETTA",
        "first_name": "MARY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37981",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BELSOM",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sophie Ann Rose Burleson
• Kyle Burrows, PT, DPT
• Danielle Burton, RBT
• Patricia Burton
• Jeffrey L Butts, D.O.
• Courtney Nicole Bynum
• C H Wilkinson Physician Network
• Heather Ottmers Caddell, M.D.
• David Carlos Cadena Jr., M.D.
• Lydia Kaler Cain, LPC

• Clinical Psychologist in Boerne, TX
• Providers in Boerne, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.