MARY E THEISEN-GOODVICH PHD
NPI 1003988528
Psychologist - Clinical in Ann Arbor, MI

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
325 E EISENHOWER PKWY STE 300, ANN ARBOR, MI 48108(734) 936-7175 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary E Theisen-goodvich Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY E THEISEN-GOODVICH PHD (NPI 1003988528) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301009981) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of University Of Michigan Medical School (1999).

NPPES Registry Identity

NPI1003988528
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARY E THEISEN-GOODVICHCredential: PHD
Location Address325 E EISENHOWER PKWY STE 300Ann Arbor, MI 48108-3439
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1999
Enumeration DateNovember 14, 2006
Last NPPES UpdateFebruary 28, 2020
NPI 1003988528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301009981
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 6301009981 (MI)
325 E EISENHOWER PKWY STE 300, Ann Arbor, MI 48108

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary E Theisen-goodvich Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496881815
PECOS Enrollment IDI20100324001128
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
119 services18 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services20 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
18 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Theisen-goodvich's NPI number?

The NPI number for Mary Theisen-goodvich is 1003988528. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Mary Theisen-goodvich located?

Mary Theisen-goodvich practices at 325 E Eisenhower Pkwy Ste 300, Ann Arbor, MI 48108. The listed phone number is (734) 936-7175.

What is Mary Theisen-goodvich's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary Theisen-goodvich enrolled in Medicare?

Yes. Mary Theisen-goodvich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Theisen-goodvich accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Mary Theisen-goodvich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Theisen-goodvich affiliated with any hospitals?

According to CMS data, Mary Theisen-goodvich is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Mary Theisen-goodvich was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.