Active NPI
Zonya Mitchell, PSY.D
- Clinical Neuropsychologist
- New York, NY
National Provider Identifier
1174953558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 020358
- Practice address
- 1430 Broadway
Suite 304
New York, NY 10018-3308 - Phone
- (212) 840-8410
- NPI assigned
- Nov 20, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 020358 | NY | Primary |
Addresses
Primary practice location
1430 Broadway
Suite 304
New York, NY 10018-3308
Mailing address
2300 8TH Ave
New York, NY 10027
Phone (646) 363-8620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730454463 | Other | NY | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020358 | NY | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Zonya Mitchell Psychology Services PLLC | Clinical Neuropsychologist | Current | Accepting new patients |
| Behavioral and Neuropsychological Consultants, LLP | Clinical Neuropsychologist | Past | Accepting new patients |
Locations
1430 Broadway
Rm 608
New York, NY 10018
Phone (646) 363-8620
Organizations & group practices 2
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.
-
- Clinical Neuropsychologist
- New York, NY
- NPI 1831952662
-
- Clinical Neuropsychologist
- New York, NY
- NPI 1730454463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1174953558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 8TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10027",
"telephone_number": "646-363-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 BROADWAY",
"address_2": "SUITE 304",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183308",
"telephone_number": "212-840-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ZONYA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-20",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "020358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1730454463",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.