Agnieszka E Mlodnicka, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

38819 Issued in TX

Practice address

6210 John Ryan Dr Ste 106
Fort Worth, TX 76132-4121

Phone

(817) 347-5220

Fax

(817) 361-7521

NPI assigned

Jun 18, 2021

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Cook Children'S Medical Center

  • Clinical Child & Adolescent Psychologist
  • Fort Worth, TX
  • NPI 1710702907
  Medicare reassignment NPD
• Curect Neuropsychology of Texas, PLLC

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1205599909
  Medicare reassignment NPD
• Cook Children'S Medical Center

  • Air Ambulance
  • Fort Worth, TX
  • NPI 1215907530
  NPD
• Cook Children'S Medical Center

  • Clinical Child & Adolescent Psychologist
  • Fort Worth, TX
  • NPI 1942509963
  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1952970519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990213",
            "telephone_number": "682-885-1860",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 JOHN RYAN DR STE 106",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324121",
            "telephone_number": "817-347-5220",
            "fax_number": "817-361-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLODNICKA",
        "first_name": "AGNIESZKA",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Phillips Mizener, FNP
• Adin William Mizer, MD
• MJB Medical Supplies, LLC
• Mjheath Enterprises
• MLD Healthcare, LLC
• MMS Equipment of Dallas West LLC
• MNK Healthcare Monitoring LLC
• Adrian Mo
• May Anisa Moayad, D.O.
• Mobilemed Pas Division

• Clinical Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.