Mary Fitzgibbons, PH.D
NPI 1679752562ActiveIndividual· Psychologist, Counseling· Saint Louis, MO
Psychologist, Counseling (PH.D) with Madmar LLC, practicing in Saint Louis, Missouri. Medicare paid $21,861 for services to 15 patients in 2024.
Overview
| NPI | 1679752562 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | Yes |
| NPI issued | Oct 29, 2007 |
| Last updated in NPPES | Oct 30, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 00944 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 276 across 2 procedure codes |
| Paid by Medicare | $21,861 |
Education and affiliations
| Graduation year | 1983 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Madmar LLCSaint Louis, MO · 9 clinicians
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