LEGACY MENTAL HEALTH CENTER
NPI 1801182837
Psychologist in Edina, MN

Active since June 28, 2011
6550 YORK AVE. S., SUITE 503, EDINA, MN 55435(612) 801-3316 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2018, Feb 7, 2017 (2 updates tracked since 2017).

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

NPI1801182837
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMARY MULLENBACH, PHD, LP, INC
Location Address6550 YORK AVE. S., SUITE 503Edina, MN 55435
Mailing Address6550 York Ave. S., Suite 503Edina, MN 55435-2336
Organization SubpartNo
Authorized OfficialMary MullenbachPresident · (612) 801-3316
Enumeration DateJune 28, 2011
Last NPPES UpdateAugust 23, 20182 updates tracked since enumeration
✔ NPI 1801182837 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 MN · 4360
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.
6550 YORK AVE. S., Edina, MN 55435

Other Names 1

Doing Business AsLegacy Mental Health Center

Other Identifiers 1

Medicaid1801192937MN

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

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

22

Medicare 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

Clinical Social Worker12
Mental Health Counselor8
Clinical Psychologist1
Marriage and Family Therapist1

Nearest to this location (20)

See all 22
Clinical Social Worker
NPI 1639351844
6550 YORK AVE S STE 503
Edina, MN 55435
(952) 426-3034
✔ PECOSSame address
Marriage and Family Therapist
NPI 1265836597
6550 YORK AVE S STE 503
Edina, MN 55435
(952) 426-3034
✔ PECOSSame address
Clinical Social Worker
NPI 1588492821
6550 YORK AVE S STE 417
Edina, MN 55435
(952) 426-3034
✔ PECOSSame address
Mental Health Counselor
NPI 1508391558
6550 YORK AVE S STE 417
Edina, MN 55435
(952) 426-3034
✔ PECOSSame address
Mental Health Counselor
NPI 1710618400
6550 YORK AVE S STE 417
Edina, MN 55435
(952) 426-3034
✔ PECOSSame address
Clinical Social Worker
NPI 1942670039
6550 YORK AVE S STE 417
Edina, MN 55435
(952) 426-3034
✔ PECOSSame address
Mental Health Counselor
NPI 1366158404
6550 YORK AVE S STE 417
Edina, MN 55435
(952) 426-3034
✔ PECOSSame address
Clinical Social Worker
NPI 1972869527
6550 YORK AVE S STE 503
Edina, MN 55435
(952) 426-3034
✔ PECOSSame address
Clinical Social Worker
NPI 1972230084
6550 YORK AVE S STE 417
Edina, MN 55435
(952) 426-3034
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1346599586
6550 YORK AVE. SOUTH SUITE 417
Edina, MN 55435
(612) 504-1832
✔ PECOSSame address
Mental Health Counselor
NPI 1821658253
6550 YORK AVE S STE 503
Edina, MN 55435
(952) 426-3034
✔ PECOSSame address
Clinical Social Worker
NPI 1962212498
6550 YORK AVE S STE 417
Edina, MN 55435
(952) 426-3034
✔ PECOSSame address
Clinical Psychologist
NPI 1235351826
6550 YORK AVE. S. SUITE 503
Minneapolis, MN 55435
(952) 426-3034
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1972017598
6328 PENN AVE S
Richfield, MN 55423
(612) 861-1688
✔ PECOS0.6 mi
Clinical Social Worker
NPI 1144702374
4240 PARK GLEN RD
St Louis Park, MN 55416
(612) 925-6033
✔ PECOS4.2 mi
Clinical Social Worker
NPI 1033620935
1725 2ND AVE SO
Minneapolis, MN 55403
(612) 373-3366
✔ PECOS6.0 mi
Mental Health Counselor
NPI 1366737520
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOS10 mi
Clinical Social Worker
NPI 1083131197
5555 BOONE AVE N
New Hope, MN 55428
(763) 504-7893
✔ PECOS12 mi
Clinical Social Worker
NPI 1568800886
5555 BOONE AVE N
New Hope, MN 55428
(763) 506-5434
✔ PECOS12 mi
Mental Health Counselor
NPI 1518033109
425 COON RAPIDS BLVD # 200 NSCC
Coon Rapids, MN 55433
(763) 784-3008
✔ PECOS18 mi
See all 22 clinicians

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 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.