DR. MARY ANNE ETHERIDGE PH.D.
NPI 1437294212
Psychologist - Clinical in Cary, NC

Active since February 20, 2007PECOS EnrolledAccepts Medicare Assignment
115 KILDAIRE PARK DR STE 313, CARY, NC 27518(919) 600-4906(888) 887-6361 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 24, 2024, Jun 10, 2024, Jan 24, 2020 (3 updates tracked since 2020).

About Dr. Mary Anne Etheridge Ph.d. NPPES

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

DR. MARY ANNE ETHERIDGE PH.D. (NPI 1437294212) is an individual clinical provider in Cary, North Carolina, licensed in North Carolina (3686) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1437294212
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY ANNE ETHERIDGECredential: PH.D.
Location Address115 KILDAIRE PARK DR STE 313Cary, NC 27518-8144
Mailing Address115 Kildaire Park Dr Ste 313Cary, NC 27518-8144 · (919) 600-4906
Fax(888) 887-6361
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
NPI 1437294212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NC · 3686
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.
Also ListedPsychologistTaxonomy 103T00000X · License 3686 (NC)
115 KILDAIRE PARK DR STE 313, Cary, NC 27518

Accepted 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

Dr. Mary Anne Etheridge Ph.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 ID8527214725
PECOS Enrollment IDI20120803000080
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 8

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

Counselor (Mental Health)
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Social Worker
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist (Clinical)
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist
115 KILDAIRE PARK DR STE 313
CARY, NC 27518

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 Etheridge's NPI number?

The NPI number for Mary Etheridge is 1437294212. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Mary Etheridge located?

Mary Etheridge practices at 115 Kildaire Park Dr Ste 313, Cary, NC 27518. The listed phone number is (919) 600-4906.

What is Mary Etheridge's specialty?

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

Is Mary Etheridge enrolled in Medicare?

Yes. Mary Etheridge 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 Etheridge accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Mary Etheridge 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 Etheridge was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.