DR. MARY ANN MOORE PSY.D.
NPI 1770197766
Psychologist - Clinical in Johnson City, NY

Active since September 07, 2020PECOS Enrolled
679 MAIN ST, JOHNSON CITY, NY 13790(607) 237-0645 Get Directions Write a Review

NPPES record last updated: September 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Ann Moore Psy.d. NPPES

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

DR. MARY ANN MOORE PSY.D. (NPI 1770197766) is an individual clinical provider in Johnson City, New York, licensed in New York (011128-1) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vestal.

NPPES Registry Identity

NPI1770197766
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY ANN MOORECredential: PSY.D.
Location Address679 MAIN STJohnson City, NY 13790-1716
Mailing Address119 Oconnell RdVestal, NY 13850-6001 · (607) 239-8063
Sole ProprietorYes
Enumeration DateSeptember 7, 2020
NPPES CertifiedSeptember 7, 2020
NPI 1770197766 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 NY · 011128-1
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.
679 MAIN ST, Johnson City, NY 13790

Other Names 1

Former Name (1)Dr. Mary Ann Corrigan Psy.d.

Secondary Practice Location 1

Location 1119 OConnell RdVestal, NY 13850-6001 · Phone (607) 239-8063

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 (PECOS)

Dr. Mary Ann Moore Psy.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Family Medicine
679 MAIN ST
JOHNSON CITY, NY 13790

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 Ann Moore's NPI number?

The NPI number for Mary Ann Moore is 1770197766. It was assigned to this individual provider in the NPPES registry on September 7, 2020. The provider is also known as Dr. Mary Ann Corrigan Psy.D..

Where is Mary Ann Moore located?

Mary Ann Moore practices at 679 Main St, Johnson City, NY 13790. The listed phone number is (607) 237-0645.

What is Mary Ann Moore's specialty?

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

Is Mary Ann Moore enrolled in Medicare?

Yes. Mary Ann Moore is registered in the Medicare PECOS enrollment system.

What insurance does Mary Ann Moore accept?

Health plans from Providence Health Plan list Mary Ann Moore 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 Ann Moore was last updated on September 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.