Individual provider Active NPI

Mary C Ammerman, PSY.D.

  • Psychologist
  • Asheville, NC
National Provider Identifier
1467558122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2990 Issued in NC
Practice address
158 Zillicoa St
Asheville, NC 28801-1079
Phone
(828) 254-9494
Fax
(828) 254-0161
NPI assigned
Sep 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Psychologist 103T00000X 2990 NC Primary

Addresses

Primary practice location

158 Zillicoa St
Asheville, NC 28801-1079

Mailing address

158 Zillicoa St
Asheville, NC 28801-1079
Phone (828) 254-9494

Other identifiers 2

IdentifierTypeStateIssuer
046F6OtherNCBCBS OF NC
6000709MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050901000073 NC Practitioner - Clinical Psychologist 8224060033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute for Applied NeuroscienceGroup PAC ID 4183884760, 4 clinicians

Practice addresses (Care Compare)

90 Acton Cir
Candler, NC 28715-9210
Phone 82825128820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2990NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Applied Neuroscience CurrentSince Jan 28, 2012 Accepting new patients

Locations

90 Acton Cir
Candler, NC 28715
Phone (828) 251-2882

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467558122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 ZILLICOA ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011079",
            "telephone_number": "828-254-9494",
            "fax_number": "828-254-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 ZILLICOA ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011079",
            "telephone_number": "828-254-9494",
            "fax_number": "828-254-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMERMAN",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "046F6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000709",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.