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NPI · 1154402113 · NPPES-sourced

Mary Waller PHD

ActiveClinical Psychologist
NPI Number
1154402113
Type 1 · Individual
Taxonomy Code
103TC0700X
Contact
(216) 591-0500
License OH · 4312
Last Updated
Enumerated
Primary practice addressOH · 44122-4330
3619 Park East Dr, Suite 313Beachwood, OH 44122-4330
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About this NPIWhat this record shows.

NPI 1154402113 is registered to Mary Waller PHD, a Clinical Psychologist practising at 3619 Park East Dr, Suite 313 in Beachwood, Ohio. Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mary Waller PHD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 000000137843OH· Issued by ANTHEM
  • 6100369OH· Issued by EVERCARE
  • 244396000OH· Issued by MAGELLAN
  • 680009403OH· Issued by RAILROAD MEDICARE

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mary Waller PHD accepts. To confirm in-network status with your specific health plan, contact Mary Waller PHD directly at (216) 591-0500.

Frequently asked

Yes. NPI 1154402113 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (216) 591-0500.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mary Waller PHD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy103TC0700X
Last updated
Enumerated
StatusActive
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