Active NPI
Mary E Leins, PSYD, HSPP
- Clinical Psychologist
- Newburgh, IN
National Provider Identifier
1356779722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20043404A
- Practice address
- 5722 Baywater Dr
Newburgh, IN 47630-7314 - Phone
- (502) 341-4742
- NPI assigned
- Oct 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20043404A | IN | Primary |
Addresses
Primary practice location
5722 Baywater Dr
Newburgh, IN 47630-7314
Mailing address
5722 Baywater Dr
Newburgh, IN 47630-7314
Phone (502) 341-4742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Pediatric Subspecialties | Past | Accepting new patients |
Interoperability endpoints
- mary.van.dyke.2@7598.direct.athenahealth.com
- mary.van.dyke.1@7598.direct.athenahealth.com
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.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1013967736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1356779722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5722 BAYWATER DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476307314",
"telephone_number": "502-341-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5722 BAYWATER DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476307314",
"telephone_number": "502-341-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEINS",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PSYD, HSPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043404A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.