Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Jane Elliott, PHD

Individual provider Clinical Psychologist · NPI 1982825865

Dr. Mary Jane Elliott, PHD is a Clinical Psychologist in Winston Salem, North Carolina. Qualified in 2000, 26 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California and North Carolina.

Years since qualifying
26
Licensed in
CA, NC
In the registry since
2007
Specialties on file
2
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

3779 Vest Mill Rd Ste B
Winston Salem, NC 27103-2991
Phone: (336) 768-0919
Fax: (336) 740-9135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3939 (NC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 18853 (CA)

Record details

NPI number1982825865
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 1, 2007
Last updated in NPPESAugust 17, 2010

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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