MARY MIRRO PSYD
NPI 1407857972
Psychologist in Crown Point, IN

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
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: August 09, 2026.

About Mary Mirro Psyd NPPES

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

MARY MIRRO PSYD (NPI 1407857972) is an individual psychologist in Crown Point, Indiana, licensed in Indiana (20041970A) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1407857972
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY MIRROCredential: PSYD
Location Address1024 STERLING CTCrown Point, IN 46307-2686
Mailing Address1024 Sterling CtCrown Point, IN 46307-2686 · (219) 805-7407
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 9, 2005
Last NPPES UpdateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
NPI 1407857972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IN · 20041970A
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1024 STERLING CT, Crown Point, IN 46307

Other Identifiers 1

Medicaid200529940IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Mirro Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325024086
PECOS Enrollment IDI20050926000946
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

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

Psychologist (Clinical)
1024 STERLING CT
CROWN POINT, IN 46307

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's NPI number?

The NPI number for Mary Mirro is 1407857972. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Mary Mirro located?

Mary Mirro practices at 1024 Sterling Ct, Crown Point, IN 46307. The listed phone number is (219) 805-7407.

What is Mary Mirro's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mary Mirro enrolled in Medicare?

Yes. Mary Mirro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Mirro accept?

Health plans from CareSource and UnitedHealthcare list Mary Mirro 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 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.