Mary Theodore, MD MPH
NPI 1063675700 · Psychiatry Physician · New York, NY
Mary Theodore, MD MPH is a Psychiatry Physician provider in New York, NY (NPI 1063675700).
Provider details
- NPI number
- 1063675700
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD MPH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1930391 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Fluoxetine Hcl | 33 |
| Bupropion Hclbrand: Bupropion Xl | 21 |
| Mirtazapine | 19 |
| Sertraline Hcl | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2008-07-02
Frequently asked questions
- What is Mary Theodore's NPI number?
- Mary Theodore's National Provider Identifier (NPI) is 1063675700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Theodore's specialty?
- Mary Theodore is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Theodore located?
- Mary Theodore's practice location on file with NPPES is 31 W 12th St, New York, NY 10011-8500.
- What is Mary Theodore's phone number?
- The practice phone number listed in the NPPES registry for Mary Theodore is (212) 255-4364.
- Is Mary Theodore's NPI active?
- Yes — Mary Theodore's NPI (1063675700) is active in the NPPES registry as of the last update on 2008-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.