DR. MARY KATHRYN ANDERSON PH.D.
NPI 1336168145
Psychologist in Ann Arbor, MI

Active since July 19, 2006Opted out of Medicare · through Mar 1, 2027
410 E WILLIAM ST, STE. 250, ANN ARBOR, MI 48104(734) 327-5934 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Kathryn Anderson Ph.d. NPPES

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

DR. MARY KATHRYN ANDERSON PH.D. (NPI 1336168145) is an individual psychologist in Ann Arbor, Michigan, licensed in Michigan (6301008873) and active in the NPI registry since July 2006. She has opted out of Medicare through March 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336168145
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY KATHRYN ANDERSONCredential: PH.D.
Location Address410 E WILLIAM ST, STE. 250Ann Arbor, MI 48104-2388
Mailing Address410 E William St, Ste. 250Ann Arbor, MI 48104-2388 · (734) 327-5934
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1336168145 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 MI · 6301008873
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.
410 E WILLIAM ST, Ann Arbor, MI 48104

Accepted Insurance

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 Kathryn Anderson 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 March 1, 2015 through March 1, 2027.

Opt-Out Effective DateMarch 1, 2015
Opt-Out In Effect ThroughMarch 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.

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 Anderson's NPI number?

The NPI number for Mary Anderson is 1336168145. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Mary Anderson located?

Mary Anderson practices at 410 E William St Ste. 250, Ann Arbor, MI 48104. The listed phone number is (734) 327-5934.

What is Mary Anderson's specialty?

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

Is Mary Anderson enrolled in Medicare?

No. Mary Anderson has opted out of Medicare through March 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.

What insurance does Mary Anderson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mary Anderson 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 Anderson 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.