Mary Mirro, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20041970A Issued in IN

Practice address

1024 Sterling CT
Crown Point, IN 46307-2686

Phone

(219) 805-7407

NPI assigned

Aug 9, 2005

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary Mirro, Psy. D., HSPP, LLC

  • Clinical Psychologist
  • Crown Point, IN
  • NPI 1114059953
  Medicare reassignment NPD Authorized official
• Gregory Hyde PSYD LLC

  • Clinical Psychologist
  • Merrillville, IN
  • NPI 1134233596
  NPD (past)
• Raymond R. Bucur, PHD. PC

  dba psychological & Social Services

  • Clinical Psychologist
  • Merrillville, IN
  • NPI 1699928507
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1407857972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 STERLING CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072686",
            "telephone_number": "219-805-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 STERLING CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072686",
            "telephone_number": "219-805-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRRO",
        "first_name": "MARY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041970A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200529940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Elizabeth Miller, NP-C
• Jessica T Miller, DNP, FNP-BC
• Kylee Miller, MD
• Paul Miller, D.D.S.
• Brianna N Mills
• Ryan Kilpatrick Misek, D.O.
• Mitchell Leslie Bressack (Dermatology Center of NW Indiana)
• Maranda Michelle Mitchell
• Rachelle Lene' Mitchell, PMHNP
• MK Orthopedics, LLC

• Psychologist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.