Mary Buzzetta, PH.D.
NPI 1003513375ActiveIndividual· Psychologist, Clinical· Boerne, TX
Psychologist, Clinical (PH.D.) in Boerne, Texas, licensed in TX, with an NPI issued in February 2023. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1003513375 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Feb 7, 2023 |
| Last updated in NPPES | Apr 25, 2026 |
| Certified by provider | Apr 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 37981 | TX |
| Counselor, Mental Health | 101YM0800X | 67230 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (TX) |
|---|
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