Individual provider Active NPI

Mary Louise Woody, PHD

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1679239198
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019150 Issued in PA
Practice address
4415 5TH Ave Ste 160
Pittsburgh, PA 15213-2654
Phone
(412) 246-5811
Fax
(412) 246-5815
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS019150 PA Primary

Addresses

Primary practice location

4415 5TH Ave Ste 160
Pittsburgh, PA 15213-2654

Mailing address

300 Liberty Ave Apt 215
Pittsburgh, PA 15222-1271
Phone (412) 906-9373

Other practice location 1

3501 Forbes Ave Ste 513
Pittsburgh, PA 15213-3317
Phone (412) 648-6560

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112000675 PA Practitioner - Clinical Psychologist 2062804628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Advanced Practice ProvidersGroup PAC ID 4082836283, 22 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 864-0594

200 Lothrop Street Forbes Tower
Suite 10055 B
Pittsburgh, PA 15213-2536

201 N Craig St
Suite 200
Pittsburgh, PA 15213-1516
Phone (412) 246-5811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS019150PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Advanced Practice Providers CurrentSince Mar 1, 2022 Accepting new patients
Upmc Advanced Practice Providers CurrentSince Mar 1, 2022 Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste 10055B
Pittsburgh, PA 15213
Phone (412) 864-0594

4415 5th Ave
Ste 160
Pittsburgh, PA 15213

Interoperability endpoints

  • Direct secure messaging: mary.l.woody@upmcdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1679239198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LIBERTY AVE APT 215",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221271",
            "telephone_number": "412-906-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 5TH AVE STE 160",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132654",
            "telephone_number": "412-246-5811",
            "fax_number": "412-246-5815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Forbes Ave Ste 513",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133317",
            "country_code": "US",
            "telephone_number": "412-648-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODY",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.