Active NPI
John Charles Mitchell, D.O.
- Psychiatry Physician
- Port Huron, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5101013191
- Practice address
- 1209 Richardson St
Port Huron, MI 48060-3548 - Phone
- (810) 984-5156
- Fax
- (810) 984-5228
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5101013191 | MI | Primary |
Addresses
Primary practice location
1209 Richardson St
Port Huron, MI 48060-3548
Mailing address
1209 Richardson St
Port Huron, MI 48060-3548
Phone (810) 984-5156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1424 E 11 Mile Rd
Royal Oak, MI 48067-2026
Phone 24854840443123
217 E Sanilac Rd
Sandusky, MI 48471-1383
Phone (810) 648-0330
2601 13TH St
Port Huron, MI 48060-6546
Phone 81098791005002
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colonial Woods Missionary Church | Current | Accepting new patients | |
| Sanilac County Community Mental Health Authority | Current | Accepting new patients | |
| Catholic Charities of Southeast Michigan | Current | Accepting new patients | |
| McKenzie Memorial Hospital | Past | Accepting new patients |
Locations
110 N Howard Ave
Croswell, MI 48422
Phone (810) 679-4141
110 N Howard Ave
Ste 3
Croswell, MI 48422
Phone (810) 679-4141
1101 Military St
Port Huron, MI 48060
Phone (810) 984-5575
2601 13th St
Port Huron, MI 48060
Phone (810) 987-9100
1424 E 11 Mile Rd
Royal Oak, MI 48067
Phone (248) 548-4044
217 E Sanilac Rd
Sandusky, MI 48471
Phone (810) 648-4327
227 E Sanilac Rd
Sandusky, MI 48471
24445 Northwestern Hwy
Ste 200
Southfield, MI 48075
Phone (248) 850-1998
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Madison Heights, MI
- NPI 1316283757
-
- Community/Behavioral Health Agency
- Sandusky, MI
- NPI 1306854880
-
dba Colonial Woods Christian Counseling Center
- Clinic/Center
- Port Huron, MI
- NPI 1033372818
-
dba McKenzie Professional Practice
- Family Medicine Physician
- Sandusky, MI
- NPI 1831443761
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspire Medical Center-Marlette
- General Practice Physician
- Marlette, MI
- NPI 1043911449
Hospital
-
- Critical Access Hospital
- Marlette, MI
- NPI 1346325214
-
dba Aspire Angle Street Clinic
- Family Medicine Physician
- Marlette, MI
- NPI 1730988999
Hospital
-
dba McKenzie Health System
- Critical Access Hospital
- Sandusky, MI
- NPI 1497750608
-
dba McKenzie Professional Practice
- Family Medicine Physician
- Sandusky, MI
- NPI 1831443761
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043308455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 RICHARDSON ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603548",
"telephone_number": "810-984-5156",
"fax_number": "810-984-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 RICHARDSON ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603548",
"telephone_number": "810-984-5156",
"fax_number": "810-984-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JOHN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5101013191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.