1. Home
  2. Directory
  3. New Jersey
  4. Montville
  5. Psychologist
  6. NPI Profile

DR. MARY ANN DEROSA PH.D.
NPI 1083737902
Psychologist - Clinical in Montville, NJ

Active since April 07, 2007PECOS EnrolledAccepts Medicare Assignment
9 VIRGINIA RD, MONTVILLE, NJ 07045(973) 299-9868(973) 299-9868 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Ann Derosa Ph.d. NPPES

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

DR. MARY ANN DEROSA PH.D. (NPI 1083737902) is an individual clinical provider in Montville, New Jersey, licensed in New Jersey (35S100371200) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1083737902
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY ANN DEROSACredential: PH.D.
Location Address9 VIRGINIA RDMontville, NJ 07045-9209
Mailing Address9 Virginia RdMontville, NJ 07045-9209 · (973) 299-9868 · Fax (973) 299-9868
Phone(973) 299-9868
Fax(973) 299-9868
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083737902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NJ · 35S100371200
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.
9 VIRGINIA RD, Montville, NJ 07045
Open in Google Maps ↗

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

Dr. Mary Ann Derosa Ph.d. 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 ID5092986158
PECOS Enrollment IDI20110921000195
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07045 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Ann Derosa's NPI number?

The NPI number for Mary Ann Derosa is 1083737902. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Where is Mary Ann Derosa located?

Mary Ann Derosa practices at 9 Virginia Rd, Montville, NJ 07045. The listed phone number is (973) 299-9868.

What is Mary Ann Derosa's specialty?

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

Is Mary Ann Derosa enrolled in Medicare?

Yes. Mary Ann Derosa 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.

When was this NPI record last updated?

The NPPES record for Mary Ann Derosa was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.