MARY S SODERSTROM M.D.
NPI 1427160704
Psychiatry & Neurology - Psychiatry in Columbus, TX

Q: What is Mary Soderstrom's NPI number?

The NPI number for Mary Soderstrom is 1427160704. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Mary Stream M.D..

Q: What is Mary Soderstrom's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mary Soderstrom was last updated on July 9, 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

1460 WALNUT ST, COLUMBUS, TX 78934(979) 732-6204 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary S Soderstrom M.d. NPPES

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

MARY S SODERSTROM M.D. (NPI 1427160704) is an individual psychiatry provider in Columbus, Texas, licensed in Texas (J0896) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1990).

NPPES Registry Identity

NPI1427160704

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMARY S SODERSTROMCredential: M.D.

Location Address1460 WALNUT STColumbus, TX 78934-2131

Mailing Address4910 Airport Ave, Bldg DRosenberg, TX 77471-5759 · (281) 239-1369 · Fax (281) 239-0828

Phone(979) 732-6204

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1990

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1427160704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TX · J0896

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1460 WALNUT ST, Columbus, TX 78934

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Other Names 1

Former Name (1)Mary Stream M.d.

Other Identifiers 2

Medicare UPINF82500TX

Medicare ID-Type Unspecified87Y958TX · Provider #

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 and accepts Medicare assignment

Mary S Soderstrom M.d. 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 ID8123169042

PECOS Enrollment IDI20100113000877

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78934 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

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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 2

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

MRS. KIMBERLY KAY PORE LCSW

Social Worker (Clinical)

1460 WALNUT ST
COLUMBUS, TX 78934

Colorado County (979) 732-6204

DONNA LYNN ARMSTRONG LPC

Counselor (Professional)

1460 WALNUT ST
COLUMBUS, TX 78934

Colorado County (979) 732-6204

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 Soderstrom's NPI number?

The NPI number for Mary Soderstrom is 1427160704. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Mary Stream M.D..

Where is Mary Soderstrom located?

Mary Soderstrom practices at 1460 Walnut St, Columbus, TX 78934. The listed phone number is (979) 732-6204.

What is Mary Soderstrom's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mary Soderstrom enrolled in Medicare?

Yes. Mary Soderstrom 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.

What insurance does Mary Soderstrom accept?

Health plans from Blue Cross and Blue Shield of Texas list Mary Soderstrom 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 Soderstrom was last updated on July 9, 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.