What is Mary Waller's NPI number?

Mary Waller's National Provider Identifier (NPI) is 1154402113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mary Waller's specialty?

Mary Waller is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Mary Waller located?

Mary Waller's practice location on file with NPPES is 3619 Park East Dr, Beachwood, OH 44122-4330.

What is Mary Waller's phone number?

The practice phone number listed in the NPPES registry for Mary Waller is (216) 591-0500.

Is Mary Waller's NPI active?

Yes — Mary Waller's NPI (1154402113) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Mary Waller, PHD

NPI 1154402113 · Clinical Psychologist · Beachwood, OH

Mary Waller, PHD is a Clinical Psychologist provider in Beachwood, OH (NPI 1154402113).

Provider details

NPI number: 1154402113
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PHD
Sex: Female
Sole proprietor: No
License: 4312 (OH)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense 4312 (OH)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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.

Practice location

3619 Park East Dr

Suite 313

Beachwood, OH 44122-4330

Phone: (216) 591-0500

Fax: (216) 591-0550

Street-level locationGet directions

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Mailing address