MARY BRONWYN LEE PHD
NPI 1508216516
Psychologist in Wilmington, NC

Active since June 21, 2016PECOS Enrolled
3205 RANDALL PKWY, SUITE 105, WILMINGTON, NC 28403(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Bronwyn Lee Phd NPPES

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

MARY BRONWYN LEE PHD (NPI 1508216516) is an individual psychologist in Wilmington, North Carolina, licensed in North Carolina (2864) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508216516
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY BRONWYN LEECredential: PHD
Location Address3205 RANDALL PKWY, SUITE 105Wilmington, NC 28403-2564
Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 742-9243 · Fax (888) 746-1787
Fax(888) 746-1787
Sole ProprietorYes
Enumeration DateJune 21, 2016
✔ NPI 1508216516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NC · 2864
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2864 (NC)
3205 RANDALL PKWY, Wilmington, NC 28403

Other Names 1

Other Name (5)M. Bronwyn Lee Phd

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Bronwyn Lee Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
3205 RANDALL PKWY, SUITE 105
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 92 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
592 services75 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
133 services133 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
93 services40 patients

Other Providers at the Same Location NPPES 16

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

In Home Supportive Care
3205 RANDALL PKWY, STE 127
WILMINGTON, NC 28403
Nurse Practitioner
3205 RANDALL PKWY
WILMINGTON, NC 28403
Psychologist (Clinical)
3205 RANDALL PKWY, SUITE 126
WILMINGTON, NC 28403
Residential Treatment Facility, Emotionally Disturbed Children
3205 RANDALL PKWY, SUITE 207
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY, SUITE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY, SUITE 217
WILMINGTON, NC 28403
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY, SUITE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY, SUITE 105
WILMINGTON, NC 28403

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 Lee's NPI number?

The NPI number for Mary Lee is 1508216516. It was assigned to this individual provider in the NPPES registry on June 21, 2016. The provider is also known as M. Bronwyn Lee Phd.

Where is Mary Lee located?

Mary Lee practices at 3205 Randall Pkwy Suite 105, Wilmington, NC 28403. The listed phone number is (910) 742-9243.

What is Mary Lee's specialty?

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

Is Mary Lee enrolled in Medicare?

Yes. Mary Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lee reassigns Medicare benefits to Lifesource Of North Carolina (Wilmington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Lee accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Mary Lee 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 Lee was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.