Individual provider Active NPI

Mary Oleary Wiley, PHD

  • Clinical Psychologist
  • Altoona, PA
National Provider Identifier
1356473763
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS008198L Issued in PA
Practice address
3701 Burgoon Road
Altoona, PA 16602-1715
Phone
(814) 942-4045
Fax
(814) 944-0419
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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 PS008198L PA Primary

Addresses

Primary practice location

3701 Burgoon Road
Altoona, PA 16602-1715

Mailing address

3701 Burgoon Road
Altoona, PA 16602-1715
Phone (814) 942-4045

Other identifiers 1

IdentifierTypeStateIssuer
547426000OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040318001077 PA Practitioner - Clinical Psychologist 5496645897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

509 Allegheny St
Hollidaysburg, PA 16648-2012
Phone (814) 932-1745

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wiley Corporation Clinical CurrentSince Dec 1, 2003 Accepting new patients
Marcy Rowland PHD LLC PastSince May 9, 2011 Accepting new patients

Locations

3701 Burgoon Rd
Altoona, PA 16602
Phone (814) 942-4045

509 Allegheny St
Hollidaysburg, PA 16648
Phone (814) 650-9515

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1356473763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 BURGOON ROAD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021715",
            "telephone_number": "814-942-4045",
            "fax_number": "814-944-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 BURGOON ROAD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021715",
            "telephone_number": "814-942-4045",
            "fax_number": "814-944-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "MARY",
        "middle_name": "OLEARY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008198L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "547426000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.