DR. MARY ELLEN HAINES (PH.D.) – Clinical Neuropsychologist, NPI 1790792315
Clinical Neuropsychologist
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Profile Insights
NPPES metrics only — not quality of care.
1,139 CLINICAL PSYCHOLOGIST in OH
Provider Addresses for DR. MARY ELLEN HAINES (PH.D.)
3000 ARLINGTON AVE STOP 1108
TOLEDO, OH 436142595
Phone:
Type: Mailing
3125 TRANSVERSE DR
TOLEDO, OH 436148008
Phone: (419) 383-5040
Fax: (419) 383-3184
Type: Location
3065, Arlington Avenue, Toledo, Lucas County, Ohio, 43614, United States
UNIVERSITY MEDICAL CENTER REHAB SERVICES
TOLEDO, OH 436142570
Phone: (419) 383-5040
Fax: (419) 383-3184
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200205002225 | I | Clinical Psychologist | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96133 | Evaluation of neuropsychological test, each additional hour | 124 | 27 | $0 |
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 72 | 16 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 27 | 27 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 27 | 27 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 43614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| P A T H O L O G Y | OH | |
| General Surgery, Critical Care (Intensivists) | MI | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH | |
| General Surgery | ME | |
| Vascular Surgery, General Surgery | MN | |
| - | OH |
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