William A Mitchell, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17736 Issued in OK

Practice address

Northwest Center for Behavioral Health
1 Mile East on Highway 270
Fort Supply, OK 73841-0001

Phone

(580) 766-2311

Fax

(580) 766-2017

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of Oklahoma

  • Medical Specialty Clinic/Center
  • Woodward, OK
  • NPI 1750456588
  NPD (past)
• State of Oklahoma

  • Psychiatric Hospital
  • Fort Supply, OK
  • NPI 1922171701
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1083787709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHWEST CENTER FOR BEHAVIORAL HEALTH",
            "address_2": "1222 10TH STREET, SUITE 211",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013156",
            "telephone_number": "580-571-3217",
            "fax_number": "580-256-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHWEST CENTER FOR BEHAVIORAL HEALTH",
            "address_2": "1 MILE EAST ON HIGHWAY 270",
            "city": "FORT SUPPLY",
            "state": "OK",
            "postal_code": "738410001",
            "telephone_number": "580-766-2311",
            "fax_number": "580-766-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "17736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00292169",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083750A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fort Supply Public Schools
• Cathy Heinen
• Patrick Scott Herd, MD
• Penny Hills
• Jayme Johnson, LPN
• Northwest Center for Behavioral Health
• Carrie Randall
• Chelsea Monique Ritzendollar, APRN
• Christen Lynn Schmidt, DPH
• State of Oklahoma

• Psychiatry Physician in Fort Supply, OK
• Providers in Fort Supply, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.