Active NPI
Mary Mayhew Ingram, M.A.
- Marriage & Family Therapist
- Philadelphia, PA
National Provider Identifier
1801240700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000911
- Practice address
- 1518 Walnut St # 19102
Suite 804
Philadelphia, PA 19102-3419 - Phone
- (215) 867-9358
- NPI assigned
- Apr 17, 2016
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000911 | PA | Primary |
Addresses
Primary practice location
1518 Walnut St # 19102
Suite 804
Philadelphia, PA 19102-3419
Mailing address
214 Price Ave
Apt C 32
Narberth, PA 19072-1843
Phone (215) 867-9358
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF000911 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1801240700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 PRICE AVE",
"address_2": "APT C 32",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190721843",
"telephone_number": "215-867-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 WALNUT ST # 19102",
"address_2": "SUITE 804",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023419",
"telephone_number": "215-867-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "MARY",
"middle_name": "MAYHEW",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-17",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.