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DR. MARY EUGENIA THEODORE MD MPH
NPI 1063675700
Psychiatry & Neurology - Psychiatry in New York, NY

Active since July 02, 2008
31 W 12TH ST, SUITE 1E, NEW YORK, NY 10011(212) 255-4364(212) 255-4364 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Eugenia Theodore Md Mph NPPES

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

DR. MARY EUGENIA THEODORE MD MPH (NPI 1063675700) is an individual psychiatry provider in New York, New York, licensed in New York (1930391) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1063675700
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARY EUGENIA THEODORECredential: MD MPH
Location Address31 W 12TH ST, SUITE 1ENew York, NY 10011-8500
Mailing Address31 West 12th Street, Suite 1eNew York, NY 10011 · (212) 255-4364 · Fax (212) 255-4364
Phone(212) 255-4364
Fax(212) 255-4364
Sole ProprietorYes
Enumeration DateJuly 2, 2008
✔ NPI 1063675700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 1930391
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
31 W 12TH ST, New York, NY 10011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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 Theodore's NPI number?

The NPI number for Mary Theodore is 1063675700. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Mary Theodore located?

Mary Theodore practices at 31 W 12th St Suite 1E, New York, NY 10011. The listed phone number is (212) 255-4364.

What is Mary Theodore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Mary Theodore accept?

Health plans from Moda Health Plan, Inc. list Mary Theodore 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.

When was this NPI record last updated?

The NPPES record for Mary Theodore was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.