DR. MARY MADISON EAGLE PH.D.
NPI 1639625171
Psychologist - Clinical in Fort Worth, TX

Q: What is Mary Madison Eagle's NPI number?

The NPI number for Mary Madison Eagle is 1639625171. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Q: What is Mary Madison Eagle's specialty?

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

Active since August 25, 2016

4837 BRYCE AVE, FORT WORTH, TX 76107(817) 980-7474 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary Madison Eagle Ph.d. NPPES

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

DR. MARY MADISON EAGLE PH.D. (NPI 1639625171) is an individual clinical provider in Fort Worth, Texas, licensed in Arkansas (16-18P) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1639625171

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARY MADISON EAGLECredential: PH.D.

Location Address4837 BRYCE AVEFort Worth, TX 76107-4144

Mailing Address4837 Bryce AveFort Worth, TX 76107-4144

Phone(817) 980-7474

Sole ProprietorYes

Enumeration DateAugust 25, 2016

✔ NPI 1639625171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AR · 16-18P

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.

4837 BRYCE AVE, Fort Worth, TX 76107

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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 Madison Eagle's NPI number?

The NPI number for Mary Madison Eagle is 1639625171. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Mary Madison Eagle located?

Mary Madison Eagle practices at 4837 Bryce Ave, Fort Worth, TX 76107. The listed phone number is (817) 980-7474.

What is Mary Madison Eagle's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Madison Eagle was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.