| Mary Mirro, Psy. D., Hspp, Llc | |
|
1024 Sterling Ct Crown Point IN 46307-2686 | |
| (219) 805-7407 | |
| Not Available |
| Full Name | Mary Mirro, Psy. D., Hspp, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1024 Sterling Ct, Crown Point, Indiana |
| Authorized Official Name and Position | Mary Mirro (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2198057407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice 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 Number | 1114059953 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Medicare PECOS PAC ID | 7012009376 |
|---|---|
| Medicare Enrollment ID | O20070816000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114059953 | NPI | - | NPPES |
| 200529940 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20041970A (Indiana) | Primary |
| Provider Name | Mary A Mirro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407857972 PECOS PAC ID: 8325024086 Enrollment ID: I20050926000946 |
Promising Futures Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5525 Cedar Point Drive, C71, Crown Point, IN 46307 Phone: 219-678-8144 | |
Gemswithin Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 756 N Madison St, Crown Point, IN 46307 Phone: 219-779-0509 Fax: 219-738-6714 | |
Breakthrough Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9800 Connecticut Dr, Crown Point, IN 46307 Phone: 708-491-8520 | |
Heard Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10428 Privet Dr, Crown Point, IN 46307 Phone: 219-202-8747 Fax: 219-301-8748 | |
Crown Point Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 N Main St, Suite C, Crown Point, IN 46307 Phone: 219-661-0331 | |
In-pact Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Marshall St, Crown Point, IN 46307 Phone: 219-662-1905 Fax: 219-662-4095 |