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

Q: 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.

Q: What is Mary Milder's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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 CareSource, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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