Mary Koralewski, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

103T00000X Issued in TX

Practice address

711 W Bay Area Blvd
Suite 126
Webster, TX 77598-4043

Phone

(713) 906-4784

Fax

(281) 240-6481

NPI assigned

May 4, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356399141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W BAY AREA BLVD",
            "address_2": "SUITE 126",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984043",
            "telephone_number": "713-906-4784",
            "fax_number": "281-240-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W BAY AREA BLVD",
            "address_2": "SUITE 126",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984043",
            "telephone_number": "713-906-4784",
            "fax_number": "281-240-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORALEWSKI",
        "first_name": "MARY",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "103T00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0016CM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prathima Kodali, PHYSICAL THERAPIST
• Jaden Rachel Schupp Kohn, MD MPH
• Stephanie Kokolis, P.A.
• Fnu Komal
• Abdoul Madjid Kone, MD
• Erwin Korman, MD
• Smita Kotecha, RPH
• Krista Koch Tejml, MD PA
• Ryan Joseph Kristynik, PTA
• KS Pharm LLC (Kelsey Pharmacy)

• Psychologist in Webster, TX
• Providers in Webster, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.