Individual provider Active NPI

Mary Ann Venezia, M.D.

  • Psychiatry Physician
  • Doylestown, PA
National Provider Identifier
1669545604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD028798E Issued in PA
Practice address
833 West Butler Ave
Foundations Behavioral Health
Doylestown, PA 18901
Phone
(215) 345-0444
Fax
(215) 699-1206
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

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
Psychiatry Physician 2084P0800X MD028798E PA Primary

Addresses

Primary practice location

833 West Butler Ave
Foundations Behavioral Health
Doylestown, PA 18901

Mailing address

PO Box 42
126 Swedesford Rd
Gwynedd, PA 19436-0042
Phone (215) 699-0106

Other identifiers 1

IdentifierTypeStateIssuer
1194357MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080530000694 PA Practitioner - Psychiatry 2466522610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenape Valley FoundationGroup PAC ID 7719960913, 66 clinicians

Practice addresses (Care Compare)

500 N W St
Doylestown, PA 18901-2366
Phone (215) 345-5300

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD028798EPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lenape Valley Foundation Psychiatry Current Accepting new patients
Lenape Valley Foundation Psychiatry CurrentSince Jul 1, 2008 Accepting new patients
Lenape Valley Foundation Psychiatry CurrentSince Jul 1, 2008 Accepting new patients

Locations

500 N West St
Doylestown, PA 18901
Phone (267) 893-5118

Organizations & group practices 3

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669545604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "address_2": "126 SWEDESFORD RD",
            "city": "GWYNEDD",
            "state": "PA",
            "postal_code": "194360042",
            "telephone_number": "215-699-0106",
            "fax_number": "215-699-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 WEST BUTLER AVE",
            "address_2": "FOUNDATIONS BEHAVIORAL HEALTH",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "215-345-0444",
            "fax_number": "215-699-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEZIA",
        "first_name": "MARY ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD028798E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194357",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.