Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary Ellen Haines, PHD

Individual provider Clinical Neuropsychologist · NPI 1790792315

Dr. Mary Ellen Haines, PHD is a Clinical Psychologist in Toledo, Ohio. Graduated from Texas a & M University System, Hsc, College of Medicine in 1997, 29 years ago. Practices with Promedica Multi Specialty Physicians, a 270-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
OH
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3125 Transverse Dr
Toledo, OH 43614-8008
Phone: (419) 383-5040
Fax: (419) 383-3184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence P.5574 (OH)

Record details

NPI number1790792315
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Promedica Multi Specialty Physicians — 270 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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