Mary Mullenbach, PHD, LP, Inc
NPI 1801182837ActiveOrganization· Psychologist· Edina, MN
Psychologist in Edina, Minnesota, registered in NPPES in June 2011. The authorized official on file is Mary Mullenbach, PH.D., L.P., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801182837 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2011 |
| Last updated in NPPES | Aug 23, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 4360 | MN |
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 Part B Supplier - Clinic/Group Practice (MN) |
|---|
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