PROF. MARY ELLEN WARREN PHD
NPI 1902904477
Psychologist - Clinical in Roanoke, VA

Q: What is Mary Warren's NPI number?

The NPI number for Mary Warren is 1902904477. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Mary Brewster.

Q: What is Mary Warren'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 Warren was last updated on April 11, 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.

Active since September 20, 2006PECOS Enrolled

4348 ELECTRIC RD, ROANOKE, VA 24018(540) 769-0976(540) 857-5385 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2024, Feb 25, 2020, May 15, 2019 and 1 more (4 updates tracked since 2017).

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About Prof. Mary Ellen Warren Phd NPPES

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

PROF. MARY ELLEN WARREN PHD (NPI 1902904477) is an individual clinical provider in Roanoke, Virginia, licensed in Virginia (0810008462) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1902904477

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NamePROF. MARY ELLEN WARRENCredential: PHD

Location Address4348 ELECTRIC RDRoanoke, VA 24018-0720

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713

Phone(540) 769-0976

Fax(540) 857-5385

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateApril 11, 20244 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1902904477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in VA · 0810008462✔ Licensed in SC · 633

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.

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 633 (SC)

Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 633 (SC)

4348 ELECTRIC RD, Roanoke, VA 24018

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Other Names 1

Other Name (5)Mary Brewster

Secondary Practice Location 1

Location 13555 Harden Street Ext Ste 300Columbia, SC 29203-6894 · Phone (803) 434-4300 · Fax (803) 434-4351

Other Identifiers 1

MedicaidPS0409SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Providence Health Plan.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)

Prof. Mary Ellen Warren Phd 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 24018 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 20

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

ALISON ENSOR DUNN MD

Pediatrics