Active NPI
Mary Baures
- Psychologist
- Peabody, MA
National Provider Identifier
1811057078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7059
- Practice address
- 7 Essex Green Dr
No. 65
Peabody, MA 01960-2961 - Phone
- (978) 664-2566
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7059 | MA | Primary |
Addresses
Primary practice location
7 Essex Green Dr
No. 65
Peabody, MA 01960-2961
Mailing address
7 Essex Green Dr
No. 65
Peabody, MA 01960-2961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120511000242 | MA | Practitioner - Clinical Psychologist | 5698874345 | Practice locations: Beverly, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
123 Water St
Beverly, MA 01915-5067
266 Cabot St
Suite 8
Beverly, MA 01950
Phone (978) 927-4901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811057078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ESSEX GREEN DR",
"address_2": "NO. 65",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 ESSEX GREEN DR",
"address_2": "NO. 65",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602961",
"telephone_number": "978-664-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAURES",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.