Mildred L. Blackford, PHD
NPI 1740282110ActiveIndividual· Psychologist, Clinical· Crown Point, IN
Psychologist, Clinical (PHD) in Crown Point, Indiana, licensed in IN, with an NPI issued in August 2005. Medicare paid $30,385 for services to 225 patients in 2024.
Overview
| NPI | 1740282110 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Aug 15, 2005 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 20040531A | IN |
| Psychologist, Clinical | 103TC0700X | 20040561A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 225 |
|---|---|
| Services billed | 501 across 6 procedure codes |
| Paid by Medicare | $30,385 |
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 23 clinical psychologists in Crown Point · All clinical psychologists in Indiana