DR. MARY JANE GAZDA PH.D.
NPI 1639259674
Psychologist in Clinton Twp, MI

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
37211 HARPER AVE STE 3A, CLINTON TWP, MI 48036(586) 466-7173(586) 741-0145 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2023, Oct 18, 2023, Jun 5, 2023 (3 updates tracked since 2023).

About Dr. Mary Jane Gazda Ph.d. NPPES

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

DR. MARY JANE GAZDA PH.D. (NPI 1639259674) is an individual psychologist in Clinton Twp, Michigan, licensed in Michigan (6301010567) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1639259674
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY JANE GAZDACredential: PH.D.
Location Address37211 HARPER AVE STE 3AClinton Twp, MI 48036-3001
Mailing Address37211 Harper Ave Ste 3aClinton Township, MI 48036-3001 · (586) 466-7173 · Fax (586) 741-0145
Fax(586) 741-0145
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 16, 2006
Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
NPI 1639259674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301010567
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.

37211 HARPER AVE STE 3A, Clinton Twp, MI 48036

Other Identifiers 1

Other0E04607MI · Blue Cross/ Blue Shield

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 Jane Gazda 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 ID4880744358
PECOS Enrollment IDI20090604000425
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.

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 Gazda's NPI number?

The NPI number for Mary Gazda is 1639259674. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Mary Gazda located?

Mary Gazda practices at 37211 Harper Ave Ste 3A, Clinton Twp, MI 48036. The listed phone number is (586) 466-7173.

What is Mary Gazda's specialty?

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

Is Mary Gazda enrolled in Medicare?

Yes. Mary Gazda 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 Gazda accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan list Mary Gazda 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 Gazda was last updated on December 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.