LEGACY MENTAL HEALTH CENTER
NPI 1801182837
Psychologist in Edina, MN
About Legacy Mental Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY MENTAL HEALTH CENTER (NPI 1801182837) is a healthcare organization registered as a psychologist in Edina, Minnesota and active in the NPI registry since June 2011. The organization lists Mary Mullenbach, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legacy Mental Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Legacy Mental Health Center, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 22Source: 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 Mullenbach, Phd, LP, Inc's NPI number?
The NPI number for Mary Mullenbach, Phd, LP, Inc is 1801182837. It was assigned to this organization in the NPPES registry on June 28, 2011. The provider is doing business as Legacy Mental Health Center.
Where is Mary Mullenbach, Phd, LP, Inc located?
Mary Mullenbach, Phd, LP, Inc is located at 6550 York Ave. S. Suite 503, Edina, MN 55435. The listed phone number is (612) 801-3316.
What is Mary Mullenbach, Phd, LP, Inc's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mary Mullenbach, Phd, LP, Inc enrolled in Medicare?
Yes. Mary Mullenbach, Phd, LP, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mary Mullenbach, Phd, LP, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Mary Mullenbach, Phd, LP, Inc. 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. The largest specialties are Clinical Social Worker (12), Mental Health Counselor (8) and Clinical Psychologist (1). Of these, 12 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mary Mullenbach, Phd, LP, Inc accept?
Health plans from HealthPartners and Sanford Health Plan list Mary Mullenbach, Phd, LP, Inc 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 Mullenbach, Phd, LP, Inc was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.