Mary Kay Gleeson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7568 Issued in MA

Practice address

7 Kimball Lane
Building E, Suite 3B
Lynnfield, MA 01940-2617

Phone

(781) 224-4120

NPI assigned

Nov 30, 2006

Last updated

Nov 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mary Catherine Gleeson Other name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NSPG Billing LLC

  • Urology Physician
  • Newburyport, MA
  • NPI 1144981721
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1912074071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KIMBALL LANE",
            "address_2": "BUILDING E, SUITE 3B",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402617",
            "telephone_number": "781-224-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 KIMBALL LANE",
            "address_2": "BUILDING E, SUITE 3B",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402617",
            "telephone_number": "781-224-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEESON",
        "first_name": "MARY KAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GLEESON",
            "middle_name": "CATHERINE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dorothy J Ganick, M.D.
• Alex Gelaides, RN
• Brenda Gharabegian
• Marina Nicole Gigliello
• Katherine Elizabeth Gilpatrick
• Laura Goodridge, MSW
• Morgan Grady
• Cassandra Lynn Greene, BA, MA
• Danielle Adamczyk Griffin, NP
• Alessia Guerriero

• Clinical Psychologist in Lynnfield, MA
• Providers in Lynnfield, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.