Mary Mullenbach, PHD, Lp, Inc
NPI 1801182837 · Psychologist · Edina, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Mullenbach, PHD, Lp, Inc is a Psychologist organization in Edina, MN (NPI 1801182837).
Provider details
- NPI number
- 1801182837
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mary Mullenbach, President(612) 801-3316
- License
- 4360 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Legacy Mental Health Center
Registry dates
- Enumerated
- 2011-06-28
- Last updated
- 2018-08-23
Frequently asked questions
- What is Mary Mullenbach, PHD, Lp, Inc's NPI number?
- Mary Mullenbach, PHD, Lp, Inc's National Provider Identifier (NPI) is 1801182837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Mullenbach, PHD, Lp, Inc?
- Mary Mullenbach, PHD, Lp, Inc is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Mullenbach, PHD, Lp, Inc located?
- Mary Mullenbach, PHD, Lp, Inc's practice location on file with NPPES is 6550 York Ave. S., Edina, MN 55435.
- What is Mary Mullenbach, PHD, Lp, Inc's phone number?
- The practice phone number listed in the NPPES registry for Mary Mullenbach, PHD, Lp, Inc is (612) 801-3316.
- Does Mary Mullenbach, PHD, Lp, Inc accept Medicare?
- Mary Mullenbach, PHD, Lp, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mary Mullenbach, PHD, Lp, Inc?
- The authorized official listed on Mary Mullenbach, PHD, Lp, Inc's NPPES record is Mary Mullenbach, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Mullenbach, PHD, Lp, Inc's NPI active?
- Yes — Mary Mullenbach, PHD, Lp, Inc's NPI (1801182837) is active in the NPPES registry as of the last update on 2018-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.