AGNIESZKA E MLODNICKA PHD
NPI 1952970519
Psychologist - Clinical in Fort Worth, TX

Q: What is Agnieszka Mlodnicka's NPI number?

The NPI number for Agnieszka Mlodnicka is 1952970519. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Q: What is Agnieszka Mlodnicka's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 18, 2021PECOS Enrolled

6210 JOHN RYAN DR STE 106, FORT WORTH, TX 76132(817) 347-5220(817) 361-7521 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Agnieszka E Mlodnicka Phd NPPES

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

AGNIESZKA E MLODNICKA PHD (NPI 1952970519) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (38819) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952970519

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameAGNIESZKA E MLODNICKACredential: PHD

Location Address6210 JOHN RYAN DR STE 106Fort Worth, TX 76132-4121

Mailing AddressPo Box 99213Fort Worth, TX 76199-0213 · (682) 885-1860 · Fax (682) 885-1396

Phone(817) 347-5220

Fax(817) 361-7521

Sole ProprietorNo

Enumeration DateJune 18, 2021

Last NPPES UpdateSeptember 30, 2025

NPPES CertifiedSeptember 30, 2025

✔ NPI 1952970519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 38819

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

6210 JOHN RYAN DR STE 106, Fort Worth, TX 76132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agnieszka E Mlodnicka 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 Reassignments

Medicare enrollment records show Agnieszka Mlodnicka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook Children's Medical Center

7.0 mi

Intellectual and Developmental Disabilities

1500 COOPER ST
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
30 clinicians in this Medicare group

NPI 1164105458 (682) 303-9200

Curect Neuropsychology Of Texas, PLLC

41 mi

Clinical

12700 HILLCREST RD STE 143
Dallas, TX 75230

Reassigned Medicare billing, Texas enrollment
9 clinicians in this Medicare group

NPI 1205599909 (972) 626-5135

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.07 typical visit price

range $56.47 – $171.07

Typical copayment $42.76 (range $14.11 – $42.76)

Most-billed visit code 99205

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CHRIS J GILBERT LPC

Counselor (Professional)

6210 JOHN RYAN DR STE 106
FORT WORTH, TX 76132

Tarrant County (817) 347-5220

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 Agnieszka Mlodnicka's NPI number?

The NPI number for Agnieszka Mlodnicka is 1952970519. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Agnieszka Mlodnicka located?

Agnieszka Mlodnicka practices at 6210 John Ryan Dr Ste 106, Fort Worth, TX 76132. The listed phone number is (817) 347-5220.

What is Agnieszka Mlodnicka's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Agnieszka Mlodnicka enrolled in Medicare?

Yes. Agnieszka Mlodnicka is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Agnieszka Mlodnicka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agnieszka Mlodnicka reassigns Medicare benefits to 2 organizations: Cook Children's Medical Center (Fort Worth, TX) and Curect Neuropsychology Of Texas, PLLC (Dallas, TX). Each 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 Agnieszka Mlodnicka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Agnieszka Mlodnicka accept?

Health plans from Imperial Insurance Companies, Inc. list Agnieszka Mlodnicka 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 Agnieszka Mlodnicka was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.