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MARY K MILDER PHD
NPI 1407520356
Psychologist - Cognitive & Behavioral in Indianapolis, IN

Active since August 04, 2021PECOS Enrolled
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-2353(317) 948-0509 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2021, Aug 4, 2021 (2 updates tracked since 2021).

About Mary K Milder Phd NPPES

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

MARY K MILDER PHD (NPI 1407520356) is an individual cognitive & behavioral provider in Indianapolis, Indiana, licensed in Indiana (20043316A) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407520356
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameMARY K MILDERCredential: PHD
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 944-2353
Fax(317) 948-0509
Sole ProprietorNo
Enumeration DateAugust 4, 2021
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1407520356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in IN · 20043316A
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologistTaxonomy 103T00000X · License 20043316A (IN)
705 RILEY HOSPITAL DR, Indianapolis, IN 46202
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Other Names 1

Former Name (1)Mary K Lynch Phd

Other Identifiers 1

Medicaid300053583IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary K Milder Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Milder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indiana University Health Care Associates, Inc
0.9 mi
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1902032832 (317) 278-3505

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHANNAD MOALLEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

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 Milder's NPI number?

The NPI number for Mary Milder is 1407520356. It was assigned to this individual provider in the NPPES registry on August 4, 2021. The provider is also known as Mary K Lynch Phd.

Where is Mary Milder located?

Mary Milder practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 944-2353.

What is Mary Milder's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Mary Milder enrolled in Medicare?

Yes. Mary Milder is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Milder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Milder reassigns Medicare benefits to Indiana University Health Care Associates, Inc (Indianapolis, IN). The 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 Mary Milder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Milder accept?

Health plans from HealthPartners list Mary Milder 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 Milder was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.