Individual provider Active NPI

Mary M Brand, PHD

  • Psychologist
  • Allison Park, PA
National Provider Identifier
1679661953
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007065L Issued in PA
Practice address
4655 William Flynn Highway
Suite 125B
Allison Park, PA 15101
Phone
(412) 492-8585
Fax
(412) 492-7882
NPI assigned
Oct 11, 2006
Last updated
Dec 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS007065L PA Primary

Addresses

Primary practice location

4655 William Flynn Highway
Suite 125B
Allison Park, PA 15101

Mailing address

4655 William Flynn Hwy
Suite 125B
Allison Park, PA 15101-2243
Phone (412) 492-8585

Other identifiers 3

IdentifierTypeStateIssuer
607624OtherHIGHMARK BCBS
267132OtherPAVALUE OPTIONS PROVIDER #
110270OtherUPMC

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
I20080208000370 PA Practitioner - Clinical Psychologist 5991888356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Psychological Services LLCGroup PAC ID 5698836922, 6 clinicians

Practice addresses (Care Compare)

4655 William Flynn Hwy
Suite 124F
Allison Park, PA 15101-2248
Phone (412) 492-8585

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Psychological Services, LLC CurrentSince Jul 27, 2007 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 124F
Allison Park, PA 15101
Phone (412) 492-8585

4655 William Flynn Hwy
Ste 125B
Allison Park, PA 15101
Phone (412) 492-8585

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1679661953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 WILLIAM FLYNN HWY",
            "address_2": "SUITE 125B",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012243",
            "telephone_number": "412-492-8585",
            "fax_number": "412-492-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 WILLIAM FLYNN HIGHWAY",
            "address_2": "SUITE 125B",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "15101",
            "telephone_number": "412-492-8585",
            "fax_number": "412-492-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007065L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "607624",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "267132",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "110270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

Verify at the official NPI Registry.