Active NPIIndividual providerSole proprietor

Richard S Mitchell, PHD

Psychologist, Cognitive & Behavioral in Dennis Port, Massachusetts

NPI Number1477551547
Practice location
15 Shirley Avenue, Dennis Port, MA 02639-5590
Fax
508-394-1180
Last updated
April 8, 2024

Richard S. Mitchell is a Psychologist, Cognitive & Behavioral based in Dennis Port, MA. Richard S. Mitchell practices in Dennis Port, MA and has the professional credentials of PHD. The NPI Number for Richard S. Mitchell is 1477551547 and holds a License No. 396 (MA). The current practice location address for Richard S. Mitchell is 15 Shirley Avenue, Dennis Port, MA 02639-5590 and can be reached out via phone at 508-394-8677 and via fax at 508-394-1180.

Provider Profile Details

NPI Number
1477551547
Provider Name
Richard S. Mitchell
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
15 Shirley Avenue, Dennis Port, MA 02639-5590
Phone Number
508-394-8677
Fax Number
508-394-1180
Primary Taxonomy
Psychologist, Cognitive & Behavioral · 103TB0200X
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2005
Last Update Date
April 8, 2024
Certification Date
April 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Shirley Avenue
Dennis Port, MA 02639-5590
Zip
02639-5590
Phone Number
508-394-8677
Fax Number
508-394-1180
Dennis Port, MA 02639Get directions →

Provider Business Mailing Address Details

Address
15 Shirley Ave
Dennis Port, MA 02639-2443
City
Dennis Port
State
MA
Zip
02639-2443
Phone Number
508-394-8677
Fax Number
508-394-1180

License Information

License Number (1)
396
License State (1)
MA
Taxonomy (1)
Psychologist, Counseling · 103TC1900X
License Number (2)
00396
License State (2)
MA
Taxonomy (2)
Psychologist, Cognitive & Behavioral · 103TB0200X · Primary
License Number (3)
00396
License State (3)
MA
License Number (4)
396
License State (4)
MA
Taxonomy (4)
Psychologist, Family · 103TF0000X
License Number (5)
396
License State (5)
MA
Taxonomy (5)
Psychologist, Health Service · 103TH0100X
License Number (6)
396
License State (6)
MA
License Number (7)
00396
License State (7)
MA
Taxonomy (7)
Psychologist, Adult Development & Aging · 103TA0700X
License Number (8)
00396
License State (8)
MA
Taxonomy (8)
Psychologist · 103T00000X
License Number (9)
00396
License State (9)
MA
Taxonomy (9)
Psychologist, Clinical · 103TC0700X
License Number (10)
00396
License State (10)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Richard S Mitchell, PHD?

The NPI number of Richard S Mitchell, PHD is 1477551547. It was assigned on July 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Richard S Mitchell, PHD?

Richard S Mitchell, PHD is registered under the primary taxonomy Psychologist, Cognitive & Behavioral (code 103TB0200X), licensed in MA under license number 396.

Where does Richard S Mitchell, PHD practice?

The practice location is 15 Shirley Avenue, Dennis Port, MA 02639-5590. The office can be reached at 508-394-8677 (phone) or 508-394-1180 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477551547 directly on the NPPES registry website.

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