Mary Grover Newcomer

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY12391 Issued in CA

Practice address

205 Camino Alto
Ste 270
Mill Valley, CA 94941

Phone

(415) 457-0424

NPI assigned

Jul 3, 2007

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

Other names 1

• Dr. Meg G Newcomer Professional name

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649478488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 RICHARDSON DRIVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412518",
            "telephone_number": "415-377-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CAMINO ALTO",
            "address_2": "STE 270",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94941",
            "telephone_number": "415-457-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMER",
        "first_name": "MARY",
        "middle_name": "GROVER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPL123910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEG",
            "last_name": "NEWCOMER",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeffrey Nebenzahl, DDS
• Adam Phillip Nelson, M.D.
• Barbara Elizabeth Nelson, M.F.T.
• Jamie Marie-Stager Nelson, DPT
• Lee Scott Nelson, LMFT
• Barbara Newlon, D.O.
• Nghia Huu Nguyen, DMD
• Thomas Nguyen
• Kristen Susann Nicita, PHARM.D.
• Mira Noble, NP

• Psychologist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.