Individual provider Active NPI

Mary K. Price, PH.D.,M.S.

  • Counseling Psychologist
  • Tallahassee, FL
National Provider Identifier
1114010832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY3028 Issued in FL
Practice address
2065-1 Delta Way
Tallahassee, FL 32303
Phone
(850) 656-1822
Fax
(850) 656-2905
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY3028 FL Primary

Addresses

Primary practice location

2065-1 Delta Way
Tallahassee, FL 32303

Mailing address

2065-1 Delta Way
Tallahassee, FL 32303
Phone (850) 656-1822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20050407000326 FL Practitioner - Clinical Psychologist 2668429028 Practice locations: Tallahassee, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2065 Delta Way
Suite 1
Tallahassee, FL 32303-4242
Phone (850) 656-1822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Tierney, LCSW, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114010832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065-1 DELTA WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32303",
            "telephone_number": "850-656-1822",
            "fax_number": "850-656-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065-1 DELTA WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32303",
            "telephone_number": "850-656-1822",
            "fax_number": "850-656-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MARY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PH.D.,M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY3028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.