Mildred L. Blackford, PHD
Clinical Psychologist · Crown Point, IN
Mildred L. Blackford, PHD is a clinical psychologist with a practice address in Crown Point, Indiana, and NPI 1740282110, issued on Aug 15, 2005. Check the license (Indiana 20040531A, as entered in NPPES) with the Indiana board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mildred L. Blackford
- Credential
- PHD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License numbers
- 20040531A IN
20040561A IN
Self-reported in NPPES; status is on the state search - Practice location
- 2100 N Main St # 304, Crown Point, IN 46307
- Phone
- (574) 546-1900
- Enumerated
- Aug 15, 2005
- Record last updated
- Jul 10, 2024
- Fax
- (574) 546-1999
- Medicaid ID
- 100339990C IN
- Medicare enrollment
- Enrolled (PECOS I20160329001594); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 838 in Indiana → Look up another NPI →
Also registered at 2100 N Main St # 304
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Michelle Bonadies, LCSWClinical Social Worker1851699375
- Caleb Brown, PSYDClinical Psychologist1316534480
- Deborah Burns, LISWClinical Social Worker1477166288
Verify Mildred L. Blackford in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 20040531ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Mildred L. Blackford among 838 clinical psychologist records in Indiana
Mildred L. Blackford, PHD is one of 838 clinical psychologist records with a practice address in Indiana. 20% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileNo · 20% of these records are
- In the CMS Doctors and Clinicians fileYes · 26% of these records are
- Graduated1990 · median 2006 among the 222 with a school on file
- Record last updated2024 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
19 clinical psychologist records list a practice address in Crown Point
They are 19 of the 1,396 NPPES records with a practice address in Crown Point, and 838 clinical psychologist records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 838 in Indiana → Every provider in Crown Point → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Denise Dekock, PSYD.Crown Point, IN 463071659409308
- James Fenstermacher, PSYDCrown Point, IN 463071295181154
- Alexander Kristevski, PSY.D.Crown Point, IN 463071063529709
- Reinaldo Matias, PHDCrown Point, IN 463071801830641
- Saundra-Anne Morrell, PSY.D.Crown Point, IN 463071598135980
- Stephanie Murphy, PSYD, HSPPCrown Point, IN 463071518419787
- Sanka Samardzija-Borovich, PSY DCrown Point, IN 463071639483878
- Kimberly Sanders, PSYDCrown Point, IN 463071497034961
Common questions
What is Mildred L. Blackford, PHD's NPI number?
Mildred L. Blackford, PHD's National Provider Identifier (NPI) is 1740282110, issued on Aug 15, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Mildred L. Blackford, PHD located?
The NPPES record lists a practice address at 2100 N Main St # 304, Crown Point, IN, 46307. Phone: (574) 546-1900. Providers update this record themselves, so call before visiting.
How can I verify Mildred L. Blackford, PHD's license?
NPPES lists Indiana license number 20040531A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.