Organization Active NPI

M. Wharry, Inc.

  • Clinical Psychologist
  • Deland, FL
National Provider Identifier
1700325214
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9476 Issued in FL
Legal business name
M. WHARRY, INC.
Practice address
101 N Woodland Blvd
Suite 204
Deland, FL 32720-4245
Phone
(386) 804-6074
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Mary Ann Elizabeth Wharry, PSY. D.NPI 1528504313
Title
President
Phone
(386) 804-6074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY9476 FL Primary

Addresses

Primary practice location

101 N Woodland Blvd
Suite 204
Deland, FL 32720-4245

Mailing address

102 Cedar Point LN
Longwood, FL 32779-4944
Phone (386) 804-6074

National Provider Directory

National Provider Directory

Locations

101 N Woodland Blvd
Ste 204
Deland, FL 32720
Phone (386) 804-6074

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1700325214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CEDAR POINT LN",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794944",
            "telephone_number": "386-804-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WOODLAND BLVD",
            "address_2": "SUITE 204",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204245",
            "telephone_number": "386-804-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. WHARRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "WHARRY",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-804-6074",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.