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

Q: 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..

Q: What is Mary Ann Moore's specialty?

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

Q: 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 6 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.

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: November 01, 2026.

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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

Phone(607) 237-0645

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

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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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

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

Che Senior Psychological Services, PC

142 mi

Clinical

300 CADMAN PLZ W
Brooklyn, NY 11201

Reassigned Medicare billing, New York enrollment
457 clinicians in this Medicare group

NPI 1023078219 (888) 515-3834

Knapp Street Psychiatry, PC

149 mi

Clinical

2433 KNAPP ST STE 306
Brooklyn, NY 11235

Reassigned Medicare billing, New York enrollment
436 clinicians in this Medicare group

NPI 1043248776 (888) 515-3834

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JUSTINE A J MAGURNO M.D.

Family Medicine

679 MAIN ST
JOHNSON CITY, NY 13790

Broome County (607) 766-0115

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.

Which organizations bill Medicare for Mary Ann Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ann Moore reassigns Medicare benefits to 2 organizations: Che Senior Psychological Services, PC (Brooklyn, NY) and Knapp Street Psychiatry, PC (Brooklyn, NY). 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 Ann Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.