MARY V LARSEN EDD
NPI 1710065016
Psychologist in Ewing, NJ

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
100 CHARLES EWING BLVD, EWING, NJ 08628(860) 788-6404 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary V Larsen Edd NPPES

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

MARY V LARSEN EDD (NPI 1710065016) is an individual psychologist in Ewing, New Jersey, licensed in New Jersey (35SI00319100) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1710065016
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY V LARSENCredential: EDD
Location Address100 CHARLES EWING BLVDEwing, NJ 08628-3454
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 2, 2006
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1710065016 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 NJ · 35SI00319100
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.
100 CHARLES EWING BLVD, Ewing, NJ 08628

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary V Larsen Edd 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 ID5890035133
PECOS Enrollment IDI20190322000903
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 Reassignments

2

Medicare enrollment records show Mary Larsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
100 CHARLES EWING BLVD STE 160
Ewing, NJ 08628
  • Reassigned Medicare billing, New Jersey enrollment
  • 27 clinicians in this Medicare group
Clinical
85 CRESCENT AVE
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey enrollment
  • 319 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 2

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, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
152 services25 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.
38 services37 patients

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
100 CHARLES EWING BLVD
EWING, NJ 08628
Nurse Practitioner (Family)
100 CHARLES EWING BLVD
EWING, NJ 08628
Social Worker (Clinical)
100 CHARLES EWING BLVD
EWING, NJ 08628
Nurse Practitioner (Psychiatric/Mental Health)
100 CHARLES EWING BLVD
EWING, NJ 08628

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 Larsen's NPI number?

The NPI number for Mary Larsen is 1710065016. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Mary Larsen located?

Mary Larsen practices at 100 Charles Ewing Blvd, Ewing, NJ 08628. The listed phone number is (860) 788-6404.

What is Mary Larsen's specialty?

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

Is Mary Larsen enrolled in Medicare?

Yes. Mary Larsen 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.

Which organizations bill Medicare for Mary Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Larsen reassigns Medicare benefits to 2 organizations: Meditelecare Of New Jersey LLC (Ewing, NJ) and Senior Care Therapy LLC (Passaic, NJ). Each 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 Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Larsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mary Larsen 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 Larsen was last updated on May 31, 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.