Active NPI
Mary T. Munger, PH.D
- Clinical Psychologist
- Metairie, LA
National Provider Identifier
1730157983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 521
- Practice address
- 300 Codifer Blvd
Metairie, LA 70005-3777 - Phone
- (504) 832-3066
- Fax
- (504) 362-3711
- NPI assigned
- Mar 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 521 | LA | Primary |
Addresses
Primary practice location
300 Codifer Blvd
Metairie, LA 70005-3777
Mailing address
300-C Codifer Blvd.
Metairie, LA 70005-3777
Phone (504) 832-3066
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6145701 | Other | LA | UNITED BEHAVORAL HEALTH |
| 048463000 | Other | LA | MAGELLAN BEHAVIORAL HEALT |
| 20545 | Other | LA | BLUE CROSS/BLUE SHIELD |
Other names 1
- Dr. Mary T Munger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 521 | LA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1730157983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300-C CODIFER BLVD.",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700053777",
"telephone_number": "504-832-3066",
"fax_number": "504-362-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CODIFER BLVD",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700053777",
"telephone_number": "504-832-3066",
"fax_number": "504-362-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNGER",
"first_name": "MARY",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-12",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVORAL HEALTH",
"identifier": "6145701",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "048463000",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "20545",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "MUNGER",
"middle_name": "T",
"prefix": "DR.",
"credential": "PH.D",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.