DR. MARY E. WHITE – Clinical Psychologist, NPI 1407927122

DR. MARY E. WHITE is a healthcare provider. based in San antonio, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 24900 (TX). The NPI Number for DR. MARY E. WHITE is 1407927122

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY E. WHITE
NPI
1407927122
Phone
(800) 257-8715
Address
616 W RUSSELL PL
Enumeration Date
13 November 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003703651
Graduation Year
1991 (35 years ago)
PAC ID
0941499818
Group Practice PAC ID
1850204983
Professional Enrollment ID
I20110107000048
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for DR. MARY E. WHITE

  • 616, West Russell Place, Alta Vista, San Antonio, Bexar County, Texas, 78212, United States

    SAN ANTONIO, TX 782123658

    Phone: (800) 257-8715

    Fax: (800) 819-1655

    Type: Location

  • 1810, Justin Lane, Brentwood, Austin, Travis County, Texas, 78757, United States

    AUSTIN, TX 787572409

    Phone: (512) 453-4561

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-01-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110107000048IClinical PsychologistTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes35833$0
90832Psychotherapy, 30 minutes33832$0
90791Psychiatric diagnostic evaluation2626$0
View full utilization report →

Insurance plans in this area (ZIP 78212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850204983View full group profile

Reviews

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Frequently asked questions

Does DR. MARY E. WHITE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MARY E. WHITE uses 1407927122.
Is DR. MARY E. WHITE still practicing?
DR. MARY E. WHITE is currently listed as active in the public NPI registry.
What is DR. MARY E. WHITE best known for clinically?
Directory data describes DR. MARY E. WHITE with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MARY E. WHITE?
DR. MARY E. WHITE's geographic hint is San Antonio, Texas in our summary view.
Why does DR. MARY E. WHITE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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