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DR. MARY B. LELWICA PH.D.
NPI 1124148960
Psychologist - Clinical in Landenberg, PA

Active since March 29, 2007Opted out of Medicare · through Jul 1, 2027
208 SKYCREST DR, LANDENBERG, PA 19350(610) 274-0641(610) 274-0351 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary B. Lelwica Ph.d. NPPES

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

DR. MARY B. LELWICA PH.D. (NPI 1124148960) is an individual clinical provider in Landenberg, Pennsylvania, licensed in Pennsylvania (PS004939L) and active in the NPI registry since March 2007. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124148960
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY B. LELWICACredential: PH.D.
Location Address208 SKYCREST DRLandenberg, PA 19350-9658
Mailing Address208 Skycrest DrLandenberg, PA 19350-9658 · (610) 274-0641 · Fax (610) 274-0351
Phone(610) 274-0641
Fax(610) 274-0351
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124148960 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 PA · PS004939L
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.
208 SKYCREST DR, Landenberg, PA 19350
Open in Google Maps ↗

Other Identifiers 8

Other0332164000PA · Ibc
Other0003720PA · Com. Care Behavioral Heal
Other11447341PA · Caqh
Other61-38877PA · United Behavioral Healthc
Other00004467874PA · Aetna
Other112680PA · Value Options
Other206413PA · Compsych
OtherV458LPA · Empire

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 B. Lelwica 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 July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013
Opt-Out In Effect ThroughJuly 1, 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 19350 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES

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

DR. THOMAS JEFFREY HEBEISEN PH.D.
Psychologist (Clinical)
208 SKYCREST DR
LANDENBERG, PA 19350
Chester County (610) 274-0641

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 Lelwica's NPI number?

The NPI number for Mary Lelwica is 1124148960. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Mary Lelwica located?

Mary Lelwica practices at 208 Skycrest Dr, Landenberg, PA 19350. The listed phone number is (610) 274-0641.

What is Mary Lelwica's specialty?

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

Is Mary Lelwica enrolled in Medicare?

No. Mary Lelwica has opted out of Medicare through July 1, 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 Lelwica was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.