MARY KATHERINE CLEMONS PSY.D.
NPI 1376196584
Psychologist - Clinical in Temple, TX

Q: What is Mary Clemons's NPI number?

The NPI number for Mary Clemons is 1376196584. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Q: What is Mary Clemons's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Clemons was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 17, 2019PECOS Enrolled

2401 S 31ST ST, TEMPLE, TX 76508(254) 724-3874 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2021, Nov 10, 2020, Jul 17, 2019 (3 updates tracked since 2019).

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About Mary Katherine Clemons Psy.d. NPPES

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

MARY KATHERINE CLEMONS PSY.D. (NPI 1376196584) is an individual clinical provider in Temple, Texas, licensed in Texas (38576) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376196584

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMARY KATHERINE CLEMONSCredential: PSY.D.

Location Address2401 S 31ST STTemple, TX 76508-0001

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-8800

Phone(254) 724-3874

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 17, 2019

Last NPPES UpdateJanuary 13, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2021

✔ NPI 1376196584 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 TX · 38576

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.

2401 S 31ST ST, Temple, TX 76508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Katherine Clemons Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113338526

PECOS Enrollment IDI20201116001241

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76508 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

DR. TIFFANY JONES BERRY MD

Family Medicine