Individual provider Active NPI

Mary Anne Hartye, PH.D.

  • Clinical Psychologist
  • Raleigh, NC
National Provider Identifier
1124075171
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1285 Issued in NC
Practice address
3141 John Humphries Wynd
Raleigh, NC 27612-5438
Phone
(919) 406-6179
Fax
(919) 783-6480
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1285 NC Primary

Addresses

Primary practice location

3141 John Humphries Wynd
Raleigh, NC 27612-5438

Mailing address

3141 John Humphries Wynd
Raleigh, NC 27612-7716
Phone (919) 406-6179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Sep 7, 2012 through Sep 7, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1285NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Grew, Morter & Hartye, PA Clinical Past Accepting new patients
Osvold Psychotherapy & Testing, Inc. Clinical Past Accepting new patients

Organizations & group practices 2

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124075171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 JOHN HUMPHRIES WYND",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127716",
            "telephone_number": "919-406-6179",
            "fax_number": "919-783-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 JOHN HUMPHRIES WYND",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125438",
            "telephone_number": "919-406-6179",
            "fax_number": "919-783-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTYE",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.