MARY ELIZABETH MARESH PSYD
NPI 1104329234
Psychologist in Minneapolis, MN

Active since March 15, 2018PECOS EnrolledAccepts Medicare Assignment
2215 E LAKE ST, MINNEAPOLIS, MN 55407(612) 596-9438 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2025, Jan 6, 2020, Dec 20, 2019 and 1 more (4 updates tracked since 2018).

About Mary Elizabeth Maresh Psyd NPPES

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

MARY ELIZABETH MARESH PSYD (NPI 1104329234) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP6224) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104329234
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY ELIZABETH MARESHCredential: PSYD
Location Address2215 E LAKE STMinneapolis, MN 55407-4385
Mailing Address2215 E Lake StMinneapolis, MN 55407-4385 · (612) 596-9438
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 15, 2018
Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1104329234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP6224
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

2215 E LAKE ST, Minneapolis, MN 55407

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 Elizabeth Maresh Psyd 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 ID446684138
PECOS Enrollment IDI20200106002654
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Psychologist
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Social Worker (Clinical)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Psychiatry & Neurology (Psychiatry)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Nurse Practitioner (Family)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Social Worker (Clinical)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Counselor (Professional)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Psychologist (Clinical)
2215 E LAKE ST
MINNEAPOLIS, MN 55407

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 Maresh's NPI number?

The NPI number for Mary Maresh is 1104329234. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Mary Maresh located?

Mary Maresh practices at 2215 E Lake St, Minneapolis, MN 55407. The listed phone number is (612) 596-9438.

What is Mary Maresh's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mary Maresh enrolled in Medicare?

Yes. Mary Maresh 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 Maresh was last updated on September 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.