Mary Mirro, Psy. D., Hspp, Llc - Medicare Mental Health Clinic in Crown Point, IN

Mary Mirro, Psy. D., Hspp, Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Crown Point, Indiana. The current practice location for Mary Mirro, Psy. D., Hspp, Llc is 1024 Sterling Ct, Crown Point, Indiana. For appointments, you can reach them via phone at (219) 805-7407. The mailing address for Mary Mirro, Psy. D., Hspp, Llc is 1024 Sterling Ct, Crown Point, Indiana and phone number is (219) 805-7407.

Mary Mirro, Psy. D., Hspp, Llc is licensed to practice in Indiana (license number 20041970A). The clinic also participates in the medicare program and its NPI number is 1114059953. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (219) 805-7407.

Contact Information

Mary Mirro, Psy. D., Hspp, Llc
1024 Sterling Ct
Crown Point
IN 46307-2686
(219) 805-7407
Not Available

Mental Health Clinic Profile

Full NameMary Mirro, Psy. D., Hspp, Llc
SpecialityPsychologist
Location1024 Sterling Ct, Crown Point, Indiana
Authorized Official Name and PositionMary Mirro (PSYCHOLOGIST/OWNER)
Authorized Official Contact2198057407
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Mirro, Psy. D., Hspp, Llc
1024 Sterling Ct
Crown Point
IN 46307-2686

Ph: (219) 805-7407
Mary Mirro, Psy. D., Hspp, Llc
1024 Sterling Ct
Crown Point
IN 46307-2686

Ph: (219) 805-7407

NPI Details:

NPI Number1114059953
Provider Enumeration Date03/09/2007
Last Update Date12/21/2022
Certification Date12/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7012009376
Medicare Enrollment IDO20070816000726

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Medical Identifiers

Medical identifiers for Mary Mirro, Psy. D., Hspp, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114059953NPI-NPPES
200529940MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 20041970A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mary Mirro, Psy. D., Hspp, Llc acts as a billing entity for following providers:
Provider NameMary A Mirro
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1407857972
PECOS PAC ID: 8325024086
Enrollment ID: I20050926000946

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