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Active NPI 1003513375 Individual Practitioner Female Practitioner

Dr. Mary Buzzetta , PhD

Psychologist - Clinical • Boerne, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mary Buzzetta, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Boerne, TX. Practice services are available at 136 OLD SAN ANTONIO RD STE 205 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

136 Old San Antonio Rd Ste 205

Boerne, TX 780063339

Telephone 2109340983

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Boerne, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Boerne, TX (2898 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2026-04-25
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License TX 37981

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License TX 67230

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Emiley Goulet , LPC

Counselor - Professional

NPI 1245081686

Licensed Professional Counselor

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location April 25, 2026

Registered at 136 OLD SAN ANTONIO RD STE 205, BOERNE, TX 780063339 (Tel: 2109340983)

📍
Updated Business Mailing Address April 25, 2026

Registered at 136 OLD SAN ANTONIO RD STE 205, BOERNE, TX 780063339 (Tel: 2109340983)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2026

Psychologist (License #37981 in TX)

📍
Updated Practice Location September 27, 2023

Registered at 5788 ECKHERT RD, SAN ANTONIO, TX 782403900 (Tel: 2104507222)

📍
Updated Business Mailing Address September 27, 2023

Registered at 5788 ECKHERT RD, SAN ANTONIO, TX 782403900 (Tel: 2104507222)

NPI Profile Active February 07, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2023

Registered at 1 UNIVERSITY WAY, SAN ANTONIO, TX 782243134 (Tel: 2107841458)

📍
Updated Business Mailing Address February 07, 2023

Registered at 1 UNIVERSITY WAY, SAN ANTONIO, TX 782243134 (Tel: 2107841458)

👤
Provider Name / Credentials Updated February 07, 2023

Recorded as MARY BUZZETTA, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2023

Counselor (License #67230 in TX)

🟢
Initial NPI Registration & Enumeration February 07, 2023

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: 1003513375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2023
Last Update: April 25, 2026
Sole Proprietor: Yes

Mailing Address

136 Old San Antonio Rd Ste 205

Boerne, TX 780063339

Phone: 2109340983

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.