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Deactivated NPI 1558479717 Deactivated / Inactive NPI Female Practitioner

Dr. Mary Mccormick , PhD

Psychologist • Andover, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mary Mccormick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 28, 2006
NPI Deactivation Date May 14, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Mary Mccormick, PhD was a registered Psychologist practicing in Andover, MA. Throughout an active medical career spanning 20 years, Dr. Mccormick provided care at the practice location at 3 DUNDEE PARK DR until profile deactivation on 2026-05-14.

Practice Location & Contact Primary Location

Practice Address

3 Dundee Park Dr
Suite 203

Andover, MA 018103723

Telephone 9784753590
Fax 9784757620
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Andover, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.4 Yrs
State Avg: 32.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Andover, MA (2533 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MA 1296

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. John Pakstis , PhD

Psychologist - Counseling

NPI 1003351388

Doctor of Philosophy (Ph.D.)

Sonia Dettmann , LICSW

Social Worker - Clinical

NPI 1043398084

Licensed Independent Clinical Social Worker

Sandra Dorros , LICSW

Social Worker - Clinical

NPI 1164602041

Licensed Independent Clinical Social Worker

Josephine Finocchiaro , MSN, RN, APRN

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1184797474

Master of Science in Nursing, Registered Nurse, Advanced Practice Registered Nurse

Mark Caton , LICSW

Social Worker - Clinical

NPI 1235140112

Licensed Independent Clinical Social Worker

Dr. Courtney Vareschi , PhD

Psychologist - Clinical

NPI 1336207463

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 14, 2026

Record deactivated on May 14, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3 DUNDEE PARK DR, SUITE 203, ANDOVER, MA 018103723 (Tel: 9784753590)

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Updated Business Mailing Address July 08, 2007

Registered at 72 TURNPIKE ST, NORTH ANDOVER, MA 018455031 (Tel: 9786854596)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARY MCCORMICK, PH.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #1296 in MA)

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Initial NPI Registration & Enumeration August 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558479717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: July 08, 2007
Deactivation Date: May 14, 2026

Mailing Address

72 Turnpike St

North Andover, MA 018455031

Phone: 9786854596

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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