Mary Carol Mazza, PhD
Psychologist in New York, NY. Individual provider (NPI-1).
NPI number1194352450
StatusActive
Last updated in NPPESMar 26, 2020
Details
- NPI
- 1194352450
- Entity type
- Individual (NPI-1)
- Name
- Mary Carol Mazza
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Mar 26, 2020
- Last updated
- Mar 26, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 023698 | NY | Yes |
Practice location
1 Park Ave Fl 8New York, NY 10016-5802
Phone 212-263-7419
Mailing address
170 Amsterdam Ave Apt 2fNew York, NY 10023-5032
Phone 617-970-8165
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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