Dr Mildred L Blackford, PHD | |
355 W 16th St., Suite 2800, Indianapolis, IN 46202-2207 | |
(317) 963-7070 | |
(317) 257-5300 |
Full Name | Dr Mildred L Blackford |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 355 W 16th St., Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740282110 | NPI | - | NPPES |
148297000 | Other | IN | MAGELLAN |
000000006038 | Other | IN | MPLAN |
000000182274 | Other | IN | BCBS |
226467 | Other | IN | MHN |
100339990C | Medicaid | IN | |
11383545 | Other | IN | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 20040561A (Indiana) | Secondary |
103TC0700X | Psychologist - Clinical | 20040531A (Indiana) | Primary |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
---|---|
Dr Mildred L Blackford, PHD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Mildred L Blackford, PHD 355 W 16th St., Suite 2800, Indianapolis, IN 46202-2207 Ph: (317) 963-7070 |
Dr. Jennifer Holzman, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 70 E 91st St Ste 210, Indianapolis, IN 46240 Phone: 317-573-0149 | |
Dr. Sarah A Landsberger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 355 W 16th St, Indianapolis, IN 46202 Phone: 317-963-7300 Fax: 317-963-7325 | |
Dr. William D. Alexy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N. Meridian, W.dr, Indianapolis, IN 46208 Phone: 317-255-3729 Fax: 317-255-3729 | |
Dr. Yelena Chernyak, PH.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Room Uh 3240, Indianapolis, IN 46202 Phone: 317-944-7422 Fax: 317-944-1497 | |
Tami S Krichiver, PSYD, HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208 | |
Brigid R Marriott, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202 Phone: 317-944-8162 Fax: 317-948-0609 | |
Dr. Lisa B Brown, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6284 Rucker Rd, Suite N, Indianapolis, IN 46220 Phone: 317-475-1389 Fax: 317-475-9089 |