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Mary Engelstatter, PHD

NPI 1740266220ActiveIndividual· Psychologist· Jacksonville, NC

Psychologist (PHD) in Jacksonville, North Carolina, licensed in NC, with an NPI issued in December 2005.

Overview

NPI1740266220
StatusActive
Entity typeIndividual
CredentialPHD
Sole proprietorNo
NPI issuedDec 16, 2005
Last updated in NPPESApr 13, 2022
Certified by providerApr 13, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X4748NC
Psychologist103T00000X2551NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Psychologist providers in Jacksonville

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