MARY PELHAM PSY.D
NPI 1902944432
Clinical Neuropsychologist in Elkins Park, PA

Q: What is Mary Pelham's NPI number?

The NPI number for Mary Pelham is 1902944432. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Mary Pelham's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Pelham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 05, 2007PECOS EnrolledAccepts Medicare Assignment

60 TOWNSHIP LINE RD, MOSS REHAB, ELKINS PARK, PA 19027(215) 663-6270(215) 663-6739 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Pelham Psy.d NPPES

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

MARY PELHAM PSY.D (NPI 1902944432) is an individual clinical neuropsychologist in Elkins Park, Pennsylvania, licensed in Pennsylvania (PS015401) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1902944432

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameMARY PELHAMCredential: PSY.D

Location Address60 TOWNSHIP LINE RD, MOSS REHABElkins Park, PA 19027-2220

Mailing Address101 E Olney Ave, Suite 505Phila, PA 19120-2421 · (215) 254-2630 · Fax (215) 254-2599

Phone(215) 663-6270

Fax(215) 663-6739

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1902944432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in PA · PS015401

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

60 TOWNSHIP LINE RD, Elkins Park, PA 19027

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Pelham Psy.d 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 ID3375512049

PECOS Enrollment IDI20040929000596

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.

Areas of Expertise CMS Part B claims 4

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.

Assessment of health behavior 96156

Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.

99 services92 patients

Treatment of behavior impacting health, initial 30 minutes 96158

This service involves a healthcare professional working with you for 30 minutes to address behaviors that are negatively affecting your health. They will help you understand and modify these behaviors, improving your overall well-being.

94 services57 patients

Treatment of behavior impacting health in group setting, each additional 30 minutes 96165

This treatment involves group sessions aimed at addressing behaviors impacting health. Each additional half-hour allows for deeper exploration of these behaviors and learning new strategies for change. It's a supportive environment for shared learning and growth.

45 services26 patients

Treatment of behavior impacting health in group setting, initial 30 minutes 96164

This is a group therapy session focusing on behaviors that affect health. In the initial 30 minutes, individuals share experiences and learn strategies to manage these behaviors. It's a supportive, confidential environment for personal growth and change.

28 services26 patients

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.

MARNIE SUE NUTKOWITZ PSYD

Clinical Neuropsychologist

60 TOWNSHIP LINE RD, MOSS REHAB
ELKINS PARK, PA 19027

Montgomery County (215) 663-6000

MR. DAVID LOUIS WALLER JR. PA-C

Physician Assistant (Surgical)