Individual provider Active NPI

Mary A O'Dowd, MD

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1659441772
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
133326 Issued in NY
Practice address
MMC - Dept. of Psychiatry
111 East 210TH Street Klau 1
Bronx, NY 10467
Phone
(718) 920-4796
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 133326 NY Primary

Addresses

Primary practice location

MMC - Dept. of Psychiatry
111 East 210TH Street Klau 1
Bronx, NY 10467

Mailing address

515 W End Ave
Apt. 17B
New York, NY 10024-4345
Phone (718) 920-4796

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MARY.ODOWD@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220115000093 NH Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0143301143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
New York Medical College, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 436-5110

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc CurrentSince Oct 14, 2021 Accepting new patients
Appledore Medical Group Dba Woodbury Family Practice CurrentSince Oct 14, 2021 Accepting new patients

Locations

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1659441772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W END AVE",
            "address_2": "APT. 17B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244345",
            "telephone_number": "718-920-4796",
            "fax_number": "718-920-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC - DEPT. OF PSYCHIATRY",
            "address_2": "111 EAST 210TH STREET KLAU 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-920-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DOWD",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "133326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MARY.ODOWD@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "MMC - DEPT. OF PSYCHIATRY",
            "address_2": "111 EAST 210TH STREET KLAU 1",
            "city": "BRONX",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.