MARY J. EWERT D.M.H.
NPI 1508903618
Psychologist - Psychoanalysis in San Francisco, CA

Active since January 30, 2007Opted out of Medicare · through Oct 1, 2027
2186 GEARY BLVD, SUITE 211, SAN FRANCISCO, CA 94115(415) 922-7646 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary J. Ewert D.m.h. NPPES

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

MARY J. EWERT D.M.H. (NPI 1508903618) is an individual psychoanalysis provider in San Francisco, California, licensed in California (PSY11635) and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508903618
Entity TypeIndividualFemale
Primary Taxonomy103TP0814X
Provider Legal NameMARY J. EWERTCredential: D.M.H.
Location Address2186 GEARY BLVD, SUITE 211San Francisco, CA 94115-3455
Mailing Address2186 Geary Blvd, Suite 211San Francisco, CA 94115-3455
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1508903618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · PsychoanalysisBehavioral Health & Social Service Providers
Taxonomy Code103TP0814X
License Licensed in CA · PSY11635
Definition
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
Also ListedPsychologistTaxonomy 103T00000X · License PSY11635 (CA)
2186 GEARY BLVD, San Francisco, CA 94115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mary J. Ewert D.m.h. 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 October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 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.

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.

Urology
2186 GEARY BLVD, SUITE 214
SAN FRANCISCO, CA 94115
Anesthesiology (Pain Medicine)
2186 GEARY BLVD
SAN FRANCISCO, CA 94115
Psychiatry & Neurology (Psychiatry)
2186 GEARY BLVD, SUITE #315
SAN FRANCISCO, CA 94115
Specialist
2186 GEARY BLVD, 316
SAN FRANCISCO, CA 94115
Urology
2186 GEARY BLVD, SUITE 214
SAN FRANCISCO, CA 94115
Internal Medicine
2186 GEARY BLVD, SUITE 210
SAN FRANCISCO, CA 94115
Internal Medicine (Gastroenterology)
2186 GEARY BLVD, SUITE #320
SAN FRANCISCO, CA 94115
Internal Medicine
2186 GEARY BLVD, SUITE 316
SAN FRANCISCO, CA 94115

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 Ewert's NPI number?

The NPI number for Mary Ewert is 1508903618. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Mary Ewert located?

Mary Ewert practices at 2186 Geary Blvd Suite 211, San Francisco, CA 94115. The listed phone number is (415) 922-7646.

What is Mary Ewert's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Psychoanalysis, with taxonomy code 103TP0814X.

Is Mary Ewert enrolled in Medicare?

No. Mary Ewert has opted out of Medicare through October 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.

When was this NPI record last updated?

The NPPES record for Mary Ewert was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.