Maryann D McCoul, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100478100 Issued in NJ

Practice address

133 Jane St
Englewood, NJ 07631-1631

Phone

(201) 344-8313

NPI assigned

May 17, 2010

Last updated

May 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1508184466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 JANE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311631",
            "telephone_number": "201-344-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 JANE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311631",
            "telephone_number": "201-344-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOUL",
        "first_name": "MARYANN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100478100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Mayer, PA
• Sandra R Mazel
• Patricia Kris Mazzola, NP CNM
• MBC Holdings Corp (Interim Healthcare of Englewood NJ)
• Michael Vincent McCaughey, M.D.
• Kavelle Tricia McGlashan, BA, CADC INTERN
• Violet M McIntosh, MD
• Kimberly Ann McKenna, NP
• Rebecca W McLaren, PA-C
• Sharde McLeish

• Psychologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.