MARY ANNE CLARK PSY.D NPI 1013077361
Psychologist - Clinical in Chicago, IL

About MARY ANNE CLARK PSY.D

Mary Clark is a provider established in Chicago, Illinois and her medical specialization is Psychologist with a focus in clinical with more than 22 years of experience. The NPI number of Mary Clark is 1013077361 and was assigned on December 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 071006752 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1013077361
Provider Name MARY ANNE CLARK PSY.D
Location Address3525 W PETERSON AVE STE 218 CHICAGO, IL 60659
Location Phone(773) 430-4601
Mailing Address3525 W PETERSON AVE STE 218 CHICAGO, IL 60659
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?Yes
Enumeration Date12-09-2006
Last Update Date12-07-2021

A clinical psychologist like Mary Anne Clark Psy.d assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.Mary Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Mary Clark is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $47.83 for a new patient copayment and $27.76 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.071006752
License StateIL
Taxonomy DescriptionA 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.

Business Address

MARY ANNE CLARK PSY.D
3525 W PETERSON AVE
STE 218
CHICAGO, IL
ZIP 60659
Phone: (773) 430-4601
Fax: (773) 478-8145

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Mailing Address

MARY ANNE CLARK PSY.D
3525 W PETERSON AVE
STE 218
CHICAGO, IL
ZIP 60659
Phone: (773) 430-4601


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7719912070
PECOS Enrollment IDI20051006000121
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 60659 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99205
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$63 $191.32 $191.32
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.75 $47.83 $47.83
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.29 $155.26 $111.04
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.82 $38.81 $27.76

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013077361
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230714312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 4 + 3 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013077361 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518950013 FRANK R DI MARIA DO
Individual
Internal Medicine3525 W PETERSON AVE SUITE 610
CHICAGO, IL 60659
(773) 463-3263
1154351641DR. JEFFREY ALLAN KRAMER D.D.S.
Individual
Dentist (General Practice)3525 W PETERSON AVE #517
CHICAGO, IL 60659
(773) 588-2100
1063442556DR. JANET MARIE KUHN D.D.S.
Individual
Dentist (General Practice)3525 W PETERSON AVE #517
CHICAGO, IL 60659
(773) 588-2100
1710047170FIRST CHOICE HEALTHCARE SERVICES,INC
Organization
Durable Medical Equipment & Medical Supplies3525 W PETERSON AVE T-18
CHICAGO, IL 60659
(773) 338-9844
1215061239DR. RAZVAN G RENTEA MD
Individual
Family Medicine3525 W PETERSON AVE S.611
CHICAGO, IL 60659
(773) 583-7793
1316103286PAULINA MED CLINIC
Organization
General Practice3525 W PETERSON AVE SUITE 611
CHICAGO, IL 60659
(773) 583-7793
1689817264M & D HOME HEALTH CARE, INC.
Organization
Home Health3525 W PETERSON AVE SUITE T-21
CHICAGO, IL 60659
(773) 583-1433
1003028143DR. ERNESTO ESTOR MD
Individual
Family Medicine3525 W PETERSON AVE SUITE 210
CHICAGO, IL 60659
(773) 293-6671
1679603138MS. SHAUNA GILMAN M.A., L.C.S.W.
Individual
Social Worker (Clinical)3525 W PETERSON AVE
CHICAGO, IL 60659
(773) 516-5541
1093054983M & D HEALTH CARE, INC.
Organization
Community/Behavioral Health3525 W PETERSON AVE SUITE T-21
CHICAGO, IL 60659
(773) 583-1433
1245488451 SARAH STOLLENWERK L.C.P.C
Individual
Counselor (Professional)3525 W PETERSON AVE T-17
CHICAGO, IL 60659
(414) 429-4604
1528309747 DEBRA SUZANN PENTANGELO LCSW
Individual
Social Worker (Clinical)3525 W PETERSON AVE T-17
CHICAGO, IL 60659
(847) 530-3949
1053717520MR. ADAM WEG
Individual
Social Worker (Clinical)3525 W PETERSON AVE SUITE 400
CHICAGO, IL 60659
(773) 516-5536
1003325556 ELMO PAINTER
Individual
Counselor3525 W PETERSON AVE
CHICAGO, IL 60659
(773) 546-8028
1295909133 HEATHER LEE SCHULIEN L.C.S.W.
Individual
Social Worker (Clinical)3525 W PETERSON AVE SUITE T-17
CHICAGO, IL 60659
(312) 498-2566
1598816985KRAMER-KUHN, D.D.S., LTD.
Organization
Dentist (General Practice)3525 W PETERSON AVE #517
CHICAGO, IL 60659
(773) 588-2100
1184165383CHICAGO PSYCH THERAPY GROUP, INC.
Organization
Psychologist (Clinical)3525 W PETERSON AVE STE 609
CHICAGO, IL 60659
(847) 532-3007
1487648689FRANK R DI MARIA DO PC
Organization
Internal Medicine3525 W PETERSON AVE STE 610
CHICAGO, IL 60659
(773) 463-3263
1861491474ACCURATE IMAGING DIAGNOSTIC, LTD.
Organization
Radiology (Diagnostic Radiology)3525 W PETERSON AVE SUITE 103
CHICAGO, IL 60659
(773) 588-8373

Frequently Asked Questions

What is Mary Clark PSY.D NPI number?

The NPI number assigned to Mary Clark PSY.D is 1013077361, registered as an "individual" on December 09, 2006

Where is Mary Clark PSY.D located?

The provider is located at 3525 W Peterson Ave Ste 218 Chicago, Il 60659 and the phone number is (773) 430-4601

Which is Mary Clark PSY.D specialty?

The provider's speciality is Psychologist with a focus in Clinical

How many years of experience does Mary Clark PSY.D have?

The provider has more than 22 years of experience.

Is Mary Clark PSY.D registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

How much is a visit to Mary Clark PSY.D?

Medicare beneficiaries should expect a typical cost of $191.32 with an average copayment of $47.83 for new patient appointments. Established patients should expect a typical charge of $111.04 and an average copayment of 27.76. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Mary Clark PSY.D was last updated on December 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]