MARY BRONWYN LEE PHD
NPI 1508216516
Psychologist in Wilmington, NC

NPI Status: Active since June 21, 2016

Contact Information

3205 RANDALL PKWY
SUITE 105
WILMINGTON, NC
ZIP 28403
Phone: (910) 742-9243
Fax: (888) 746-1787

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 45
  • Psychologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARY LEE

This page provides the complete NPI Profile along with additional information for Mary Lee, a provider established in Wilmington, North Carolina with a medical specialization in Psychologist and more than 45 years of experience. The healthcare provider is registered in the NPI registry with number 1508216516 assigned on June 2016. The practitioner's primary taxonomy code is 103T00000X with license number 2864 (NC). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1508216516
Provider Name
MARY BRONWYN LEE PHD
Other Name
M. BRONWYN LEE PHD
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403
Location Phone
(910) 742-9243
Location Fax
(888) 746-1787
Mailing Address
PO BOX 538622 ATLANTA, GA 30353
Mailing Phone
(910) 742-9243
Mailing Fax
(888) 746-1787
Medical School Name
OTHER
Graduation Year
1981
Is Sole Proprietor?
Yes
Enumeration Date
06-21-2016
Last Update Date
06-21-2016
Code Navigator

A psychologist like Mary Lee studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
2864
License State
NC
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

2864 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with Atrium Health - HMO
  • Gold Elite Saver Plus - HMO
  • Gold Elite Saver Plus | with Atrium Health - HMO
  • Secure - HMO
  • Secure | with Atrium Health - HMO
  • Silver Classic - HMO
  • Silver Classic | with Atrium Health - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with Atrium Health - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple Diabetes | with Atrium Health - HMO
  • Silver Simple PCP Saver - HMO
  • Silver Simple PCP Saver | with Atrium Health - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Mary Lee is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mary Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 840586111

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160913001037

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychiatric diagnostic evaluation

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

This service was performed 102 times for 102 patients

Psychotherapy, 1 hour

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

This service was performed 931 times for 84 patients

Reviews for MARY BRONWYN LEE PHD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508216516
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508411252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 4 + 1 + 1 + 2 + 5 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1508216516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023003837DR. GLENN E. CAHN PHD
Individual
Psychologist (Clinical)3205 RANDALL PKWY SUITE 117
WILMINGTON, NC 28403
(910) 332-4134
1598968349DR. BEN T RIGBY PH.D.
Individual
Psychologist3205 RANDALL PKWY SUITE 217
WILMINGTON, NC 28403
(910) 254-4545
1306010533CIRCLE OF COURAGE OF BRUNSWICK CO., LLC
Organization
Residential Treatment Facility, Emotionally Disturbed Children3205 RANDALL PKWY SUITE 207
WILMINGTON, NC 28403
(910) 338-0001
1447541461RIGBY PSYCHOLOGICAL SERVICES PLLC
Organization
Psychologist3205 RANDALL PKWY SUITE 217
WILMINGTON, NC 28403
(910) 254-4545
1285777599ARLENE GEORGIA GALLAN PHD INC
Organization
Psychologist (Clinical)3205 RANDALL PKWY SUITE 126
WILMINGTON, NC 28403
(910) 815-3535
1659543585 KRISTEN DANIELLE RUDY M.S., ATR, NCC, LPC
Individual
Counselor (Mental Health)3205 RANDALL PKWY STE. 128
WILMINGTON, NC 28403
(910) 777-1866
1760490114MR. CORBIN HOBBIE LCSW
Individual
Social Worker3205 RANDALL PKWY SUITE 105
WILMINGTON, NC 28403
(910) 742-9243
1568796886DR. MICHAEL BESIO JR. PSY.D.
Individual
Psychologist3205 RANDALL PKWY SUITE 105
WILMINGTON, NC 28403
(910) 742-9243
1174633457MS. LINDA D CAPPIELLO NURSE PRACTITIONER
Individual
Nurse Practitioner3205 RANDALL PKWY
WILMINGTON, NC 28403
(910) 742-9243
1407938426DR. KATHLEEN ANN TRICKLE PSY.D.
Individual
Psychologist3205 RANDALL PKWY SUITE 105
WILMINGTON, NC 28403
(910) 742-9243
1780859900MR. SHAWN CHRISTOPHER CONSEY PA-C
Individual
Physician Assistant3205 RANDALL PKWY SUITE 105
WILMINGTON, NC 28403
(910) 742-9243
1508258583 HEATHER JEAN MCFARLAND PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)3205 RANDALL PKWY SUITE 105
WILMINGTON, NC 28403
(910) 742-9243
1770950826 CHRISTOPHER MICHAEL NEUENFELDT PSYD
Individual
Psychologist3205 RANDALL PKWY SUITE 105
WILMINGTON, NC 28403
(910) 742-9243
1902923055MS. MARILYN CHRISTINE MADDEN ANP
Individual
Nurse Practitioner3205 RANDALL PKWY SUITE 105
WILMINGTON, NC 28403
(910) 742-9243
1811286156LIFESOURCE OF NORTH CAROLINA
Organization
Internal Medicine3205 RANDALL PKWY SUITE 105
WILMINGTON, NC 28403
(910) 742-9243
1174069132WILMINGTON NC HOMECARE LLC
Organization
In Home Supportive Care3205 RANDALL PKWY STE 127
WILMINGTON, NC 28403
(910) 777-5926

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508216516, enumerated in the NPI registry as an "individual" on June 21, 2016

The provider is located at 3205 Randall Pkwy Suite 105 Wilmington, Nc 28403 and the phone number is (910) 742-9243

The provider's speciality is Psychologist with taxonomy code 103T00000X

The provider has more than 45 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Oscar Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation and Psychotherapy, 1 hour.

This NPI record was last updated on June 21, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.