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

Individual provider Clinical Psychologist · NPI 1013005701

Prof. Mary E Vanbourgondien, PHD is a Clinical Psychologist in Chapel Hill, North Carolina. Qualified in 1979, 47 years ago. Practices with University of North Carolina at Chapel Hill, a 2,079-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
47
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

101 Manning Dr
Chapel Hill, NC 27599-0001
Phone: (919) 966-8596
Fax: (919) 843-5515
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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 807 (NC)

Record details

NPI number1013005701
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESApril 23, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice University Of North Carolina At Chapel Hill — 2079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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