Mitchell Center for Psychological Care

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MITCHELL CENTER FOR PSYCHOLOGICAL CARE

Practice address

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805

Phone

(313) 402-3329

NPI assigned

Apr 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ayana Simmons, LPNPI 1326460734

Title

Owner

Phone

(313) 402-3329

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayana Kafi Simmons, PSYD, LP

  • Clinical Psychologist
  • Dearborn, MI
  • NPI 1326460734
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1013761568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201805",
            "telephone_number": "313-402-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201805",
            "telephone_number": "313-402-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL CENTER FOR PSYCHOLOGICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "AYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-402-3329",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Minich, D.O.
• Lawrence Mintzer
• Zarine Minwalla, PT, DPT
• Mirna Farhat MD, PLC
• Bernadine Geraldine Mistor, MSW,CSW
• Alexis Mitchell, LCSW
• Joi Mitchell, MA, CCC-SLP
• Kathleen Mitchell, LMSW
• Leanne Frances Mitchell, BA, SST
• Melvin Mitchell

• Clinical Psychologist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.