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DR. MARY MARGARET FREDERICK PH.D.
NPI 1114225075
Psychologist - Clinical in New York, NY

Active since March 02, 2011Opted out of Medicare · through Feb 27, 2027
653 WASHINGTON ST, NEW YORK, NY 10014(212) 741-6817 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Margaret Frederick Ph.d. NPPES

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

DR. MARY MARGARET FREDERICK PH.D. (NPI 1114225075) is an individual clinical provider in New York, New York, licensed in New York (7961) and active in the NPI registry since March 2011. She has opted out of Medicare through February 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114225075
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY MARGARET FREDERICKCredential: PH.D.
Location Address653 WASHINGTON STNew York, NY 10014-2865
Mailing Address653 Washington StNew York, NY 10014-2865 · (212) 741-6817
Phone(212) 741-6817
Sole ProprietorYes
Enumeration DateMarch 2, 2011
✔ NPI 1114225075 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 NY · 7961
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.
653 WASHINGTON ST, New York, NY 10014
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Margaret Frederick Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2017 through February 27, 2027.

Opt-Out Effective DateFebruary 27, 2017
Opt-Out In Effect ThroughFebruary 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10014 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 Margaret Frederick's NPI number?

The NPI number for Mary Margaret Frederick is 1114225075. It was assigned to this individual provider in the NPPES registry on March 2, 2011.

Where is Mary Margaret Frederick located?

Mary Margaret Frederick practices at 653 Washington St, New York, NY 10014. The listed phone number is (212) 741-6817.

What is Mary Margaret Frederick's specialty?

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

Is Mary Margaret Frederick enrolled in Medicare?

No. Mary Margaret Frederick has opted out of Medicare through February 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Margaret Frederick was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.