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
- 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) |
---|---|---|---|---|
1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 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
Psychotherapy, 1 hour
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 patientsPsychotherapy 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 patientsReviews for MARY BRONWYN LEE PHD
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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. | |||||||||
1 | 5 | 0 | 8 | 2 | 1 | 6 | 5 | 1 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 0 | 8 | 4 | 1 | 12 | 5 | 2 | |
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 = 6 | 6 |
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 |
---|---|---|---|
1023003837 | DR. GLENN E. CAHN PHD Individual | Psychologist (Clinical) | 3205 RANDALL PKWY SUITE 117 WILMINGTON, NC 28403 (910) 332-4134 |
1598968349 | DR. BEN T RIGBY PH.D. Individual | Psychologist | 3205 RANDALL PKWY SUITE 217 WILMINGTON, NC 28403 (910) 254-4545 |
1306010533 | CIRCLE OF COURAGE OF BRUNSWICK CO., LLC Organization | Residential Treatment Facility, Emotionally Disturbed Children | 3205 RANDALL PKWY SUITE 207 WILMINGTON, NC 28403 (910) 338-0001 |
1447541461 | RIGBY PSYCHOLOGICAL SERVICES PLLC Organization | Psychologist | 3205 RANDALL PKWY SUITE 217 WILMINGTON, NC 28403 (910) 254-4545 |
1285777599 | ARLENE 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 |
1760490114 | MR. CORBIN HOBBIE LCSW Individual | Social Worker | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
1568796886 | DR. MICHAEL BESIO JR. PSY.D. Individual | Psychologist | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
1174633457 | MS. LINDA D CAPPIELLO NURSE PRACTITIONER Individual | Nurse Practitioner | 3205 RANDALL PKWY WILMINGTON, NC 28403 (910) 742-9243 |
1407938426 | DR. KATHLEEN ANN TRICKLE PSY.D. Individual | Psychologist | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
1780859900 | MR. SHAWN CHRISTOPHER CONSEY PA-C Individual | Physician Assistant | 3205 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 | Psychologist | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
1902923055 | MS. MARILYN CHRISTINE MADDEN ANP Individual | Nurse Practitioner | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
1811286156 | LIFESOURCE OF NORTH CAROLINA Organization | Internal Medicine | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
1174069132 | WILMINGTON NC HOMECARE LLC Organization | In Home Supportive Care | 3205 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].
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