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MARY MIRRO, PSY. D., HSPP, LLC
NPI 1114059953
Psychologist - Clinical in Crown Point, IN

Active since March 09, 2007
1024 STERLING CT, CROWN POINT, IN 46307(219) 805-7407 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Mary Mirro, Psy. D., Hspp, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MIRRO, PSY. D., HSPP, LLC (NPI 1114059953) is a healthcare organization registered as a clinical in Crown Point, Indiana and active in the NPI registry since March 2007. The organization lists Mary Mirro, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1114059953
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMARY MIRRO, PSY. D., HSPP, LLC
Location Address1024 STERLING CTCrown Point, IN 46307-2686
Mailing Address1024 Sterling CtCrown Point, IN 46307-2686 · (219) 805-7407
Phone(219) 805-7407
Organization SubpartNo
Authorized OfficialMary MirroPsychologist/owner · (219) 805-7407
Enumeration DateMarch 9, 2007
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1114059953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IN · 20041970A
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1024 STERLING CT, Crown Point, IN 46307
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Other Identifiers 1

Medicaid200529940IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Mirro, Psy. D., Hspp, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20070816000726Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Mirro, Psy. D., Hspp, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Mirro, PSYD
Clinical Psychologist
NPI 1407857972
1024 STERLING CT
Crown Point, IN 46307
(219) 805-7407
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Mirro, Psy. D., Hspp, LLC's NPI number?

The NPI number for Mary Mirro, Psy. D., Hspp, LLC is 1114059953. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Mary Mirro, Psy. D., Hspp, LLC located?

Mary Mirro, Psy. D., Hspp, LLC is located at 1024 Sterling Ct, Crown Point, IN 46307. The listed phone number is (219) 805-7407.

What is Mary Mirro, Psy. D., Hspp, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary Mirro, Psy. D., Hspp, LLC enrolled in Medicare?

Yes. Mary Mirro, Psy. D., Hspp, LLC is registered in the Medicare PECOS enrollment system.

When is Mary Mirro, Psy. D., Hspp, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mary Mirro, Psy. D., Hspp, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mary Mirro, Psy. D., Hspp, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mary Mirro, Psy. D., Hspp, LLC accept?

Health plans from CareSource list Mary Mirro, Psy. D., Hspp, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Mirro, Psy. D., Hspp, LLC was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.