DR. MILDRED L BLACKFORD PHD NPI 1740282110

NPI Information

  • NPI: 1740282110
  • Provider Name: DR. MILDRED L BLACKFORD, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2100 N MAIN ST # 304
    CROWN POINT, IN
    ZIP 46307
  • Phone: (574) 546-1900

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NPI Details

DR. Mildred L Blackford, PHD is a clinical psychologist in Crown Point, IN with 35 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Mildred L Blackford, PHD NPI is 1740282110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 N MAIN ST # 304
CROWN POINT, IN
ZIP 46307-877
Phone: (574) 546-1900
Fax: (574) 546-1999

The NPI 1740282110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 7/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical20040561AINDIANANo
2103TC0700XPsychologistClinical20040531AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1148297000OTHERINDIANAMAGELLAN
2226467OTHERINDIANAMHN
3100339990CMEDICAIDINDIANA
411383545OTHERINDIANACAQH
5000000182274OTHERINDIANABCBS
6000000006038OTHERINDIANAMPLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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