Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mildred L Blackford, PHD

Individual provider Clinical Psychologist · NPI 1740282110

Dr. Mildred L Blackford, PHD is a Clinical Psychologist in Crown Point, Indiana. Qualified in 1990, 36 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
36
Licensed in
IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

2100 N Main St # 304
Crown Point, IN 46307-1877
Phone: (574) 546-1900
Fax: (574) 546-1999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 355 W 16th St., Indianapolis, IN 46202-2207 — (317) 963-7070
  • 550 University Blvd, Indianapolis, IN 46202-5149 — (317) 944-5998

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20040531A (IN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 20040561A (IN)

Record details

NPI number1740282110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 15, 2005
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Crown Point