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DR. MARY CAROLINE MENDOZA-NEWMAN PH.D.
NPI 1912026246
Student in an Organized Health Care Education/Training Program in Stanford, CA

Active since March 28, 2007PECOS Enrolled
866 CAMPUS DR, STANFORD, CA 94305(650) 723-3785 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mary Caroline Mendoza-newman Ph.d. NPPES

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

DR. MARY CAROLINE MENDOZA-NEWMAN PH.D. (NPI 1912026246) is an individual student in an organized health care education/training program in Stanford, California, licensed in California (PSY 18856) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1912026246
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARY CAROLINE MENDOZA-NEWMANCredential: PH.D.
Location Address866 CAMPUS DRStanford, CA 94305-8508
Mailing Address866 Campus DrStanford, CA 94305-8508 · (650) 723-3785
Phone(650) 723-3785
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 24, 2012
✔ NPI 1912026246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · PSY 18856
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
866 CAMPUS DR, Stanford, CA 94305
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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 Caroline Mendoza-newman Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103383336
PECOS Enrollment IDI20260807001873
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 Reassignment

Medicare enrollment records show Mary Mendoza-newman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stanford Health Care
1.1 mi
General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
NPI 1437292927 (650) 723-4000

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

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.

JULIE TINKLENBERG M.D.
Psychologist (Prescribing (Medical))
866 CAMPUS DR
STANFORD, CA 94305
Santa Clara County (650) 723-3785
MADELEINE JANAKI KANNAN LCSW
Social Worker (Clinical)
866 CAMPUS DR
STANFORD, CA 94305
Santa Clara County (650) 498-2336
SONJA KUBOTA JOHANSSON PSY.D.
Psychologist
866 CAMPUS DR
STANFORD, CA 94305
Santa Clara County (212) 731-9293
SUJATA PATEL MD
Psychiatry & Neurology (Psychiatry)
866 CAMPUS DR
STANFORD, CA 94305
Santa Clara County (650) 723-3785
PARUL WASON PT
Physical Therapist
866 CAMPUS DR
STANFORD, CA 94305
Santa Clara County (650) 723-3195
STANFORD UNIVERSITY STUDENT HEALTH CENTER PHARMACY
Pharmacy (Clinic Pharmacy)
866 CAMPUS DR
STANFORD, CA 94305
Santa Clara County (650) 725-6160
THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY
Clinic/Center (Primary Care)
866 CAMPUS DR
STANFORD, CA 94305
Santa Clara County (650) 725-1366
MISS SHELLY THURLO SHEINBEIN PH.D.
Counselor (Mental Health)
866 CAMPUS DR
STANFORD, CA 94305
Santa Clara County (650) 723-2759

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 Mendoza-newman's NPI number?

The NPI number for Mary Mendoza-newman is 1912026246. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Mary Mendoza-newman located?

Mary Mendoza-newman practices at 866 Campus Dr, Stanford, CA 94305. The listed phone number is (650) 723-3785.

What is Mary Mendoza-newman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mary Mendoza-newman enrolled in Medicare?

Yes. Mary Mendoza-newman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Mendoza-newman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mendoza-newman reassigns Medicare benefits to Stanford Health Care (Stanford, CA). The 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 Mendoza-newman'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 Mendoza-newman was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.