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

Individual provider Psychologist · NPI 1376639724

Mary Tayal, PHD is a Clinical Psychologist in Charlotte, North Carolina. Qualified in 1987, 39 years ago. Practices with Thriveworks Clinical - North Carolina PC, a 111-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
39
Licensed in
NC
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

3541 Randolph Rd Ste 206
Charlotte, NC 28211-1082
Phone: (704) 381-8336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1833 (NC)

Record details

NPI number1376639724
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESOctober 4, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Thriveworks Clinical - North Carolina Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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