Individual provider Active NPI

Mary Kathryn Arcari, PSY.D.

  • Clinical Psychologist
  • Media, PA
National Provider Identifier
1962696732
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016286 Issued in PA
Practice address
1088 W Baltimore Pike
Media, PA 19063-5146
Phone
(610) 744-2962
Fax
(610) 744-2420
NPI assigned
Sep 5, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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 PS016286 PA Primary

Addresses

Primary practice location

1088 W Baltimore Pike
Media, PA 19063-5146

Mailing address

33 Melissa LN
Pilesgrove, NJ 08098-2706
Phone (856) 769-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070927000540 PA Practitioner - Clinical Psychologist 9234224858 Reassigns benefits to 1 organization
I20080507000239 NJ Practitioner - Clinical Psychologist 9234224858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurobehavioral Wellness CenterGroup PAC ID 1052576659, 2 clinicians

Practice addresses (Care Compare)

1630 Route 322
Unit E
Woolwich Township, NJ 08085-3701
Phone (856) 975-6279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David a Thomas, LTD CurrentSince Sep 10, 2007 Accepting new patients
David a Thomas, LTD Current Accepting new patients
Neurobehavioral Wellness Center CurrentSince May 31, 2012 Accepting new patients
Regional Medical Specialty Associates PastSince Oct 25, 2020 Accepting new patients

Locations

1630 Route 322
Unit C
Woolwich Township, NJ 08085
Phone (856) 975-6279

1630 Route 322
Unit E
Woolwich Twp, NJ 08085
Phone (856) 418-0808

1088 W Baltimore Pike
Ste 2205
Rose Valley, PA 19063
Phone (610) 565-7010

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1962696732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MELISSA LN",
            "city": "PILESGROVE",
            "state": "NJ",
            "postal_code": "080982706",
            "telephone_number": "856-769-3660",
            "fax_number": "610-744-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-744-2962",
            "fax_number": "610-744-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCARI",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.