Patricia Mitchell, PSY,D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001825 Issued in CT

Practice address

4 Berkshire Blvd
Bethel, CT 06801-1001

Phone

(203) 826-3140

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Dutchess Psychology Practice LLC

  • Psychologist
  • Sharon, CT
  • NPI 1912094889
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1124143243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CANDLE HILL RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068122411",
            "telephone_number": "203-746-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BERKSHIRE BLVD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011001",
            "telephone_number": "203-826-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PSY,D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "001825",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "011912-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011912-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Z Fein DPM PC
• Michael Z Fein DPM PC
• Victoria Fern Michalek, LCSW
• Milk and More Wellness PLLC
• Randy David Miller, PHARM.D.
• Modern Spine Health and Injury Care LLC
• Danielle Monroe, LPC, NBCC
• Susan Montuori
• Binh T Moore, OD
• Luann Moratto, DC

• Clinical Psychologist in Bethel, CT
• Providers in Bethel, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.