Individual provider Active NPI

Mary Robin Newman, PSYD

  • Clinical Psychologist
  • Lindale, TX
National Provider Identifier
1881997658
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3521 Issued in CO
Practice address
305 E South St
Ste 102
Lindale, TX 75771-3490
Phone
(719) 260-1221
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3521 CO Primary

Addresses

Primary practice location

305 E South St
Ste 102
Lindale, TX 75771-3490

Mailing address

305 E South St
Lindale, TX 75771-3490
Phone (719) 260-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160624001087 TX Practitioner - Clinical Psychologist 8820389661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4305 Oxbow Dr
McKinney, TX 75072-9149
Phone (719) 260-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37166TXMDSpeech-Language Assistant
3521COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Therapy, LLC Clinical CurrentSince Feb 2, 2017 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients

Locations

305 E South St
Ste 102
Lindale, TX 75771
Phone (719) 260-1221

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1881997658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E SOUTH ST",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757713490",
            "telephone_number": "719-260-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E SOUTH ST",
            "address_2": "STE 102",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757713490",
            "telephone_number": "719-260-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MARY",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindale, TX

Sources for this page

Verify at the official NPI Registry.