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

Mary Fitzgibbons, PHD

Individual provider Counseling Psychologist · NPI 1679752562

Mary Fitzgibbons, PHD is a Clinical Psychologist in Saint Louis, Missouri. Qualified in 1983, 43 years ago. Practices with Madmar LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
43
Licensed in
MO
In the registry since
2007
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

12125 Woodcrest Executive Dr
Saint Louis, MO 63141-5001
Phone: (314) 275-8599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 00944 (MO)

Record details

NPI number1679752562
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 29, 2007
Last updated in NPPESOctober 30, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Madmar Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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