Mary Margaret Ewing, M.D., M.B.A.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A112699 Issued in CA

Practice address

1120 Silverado St Ste 203
La Jolla, CA 92037-4524

Phone

(858) 412-5141

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, SC, NC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Psychiatry

Education

George Washington University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TMS Neurohealth West Professional Medical CorporationGroup PAC ID 1254605140, 13 clinicians

Arman C Moshyedi MD PLLCGroup PAC ID 9931435070, 21 clinicians

TMS Neurohealth South Carolina LLCGroup PAC ID 8921336504, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.ewing.1@18773.direct.athenahealth.com

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.

• TMS Neurohealth West Professional Medical Corporation

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1326598244

  CA, Psychiatry

  Medicare reassignment Care Compare group NPD
• Arman C. Moshyedi, MD, PLLC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1477012813

  NC, Psychiatry

  Medicare reassignment Care Compare group NPD
• TMS Neurohealth South Carolina LLC

  • Psychiatry Physician
  • Greenville, SC
  • NPI 1942762315

  Psychiatry, SC

  Medicare reassignment Care Compare group NPD
• Psychiatric Services Incorporated

  • Psychiatry Physician
  • Agoura Hills, CA
  • NPI 1417274036

  Psychiatry

  NPD (past)
• Sana Johnson-Quijada, M.D., Inc.

  • Psychiatry Physician
  • Murrieta, CA
  • NPI 1174821912

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1073652004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 FAY AVE # 352",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370021",
            "telephone_number": "619-549-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SILVERADO ST STE 203",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374524",
            "telephone_number": "858-412-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "2006-0220",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A112699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Cara Evans, L.C.S.W.
• Elisabeth Evans, N.P.
• J Rotsen Evaristo, M.D.
• Amy Evenstad, PHARMD
• Alexandra Howard Ewers, NP
• Eye MD of la Jolla, Apc
• Eyesee Apc
• Michelle Eyler, PA
• Mona M. Ezzat, M.D.
• Kace A. Ezzet, M.D.

• All providers in La Jolla, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.