Michael J Mitchell

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

119-402-1782 Issued in NY

Practice address

155 Huron St Apt 2
Brooklyn, NY 11222-5836

Phone

(404) 663-3634

NPI assigned

Jan 31, 2011

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Butterfly Effects LLC.

  • Community/Behavioral Health Agency
  • Boone, NC
  • NPI 1659677482
  Authorized official Same address or phone
• Buckeye Behavioral Consulting Inc

  • Clinic/Center
  • Beavercreek, OH
  • NPI 1902369309
  NPD (past)
• Butterfly Effects

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pompano Beach, FL
  • NPI 1104124940
  NPD (past)

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1194021782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HURON ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225836",
            "telephone_number": "404-663-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HURON ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225836",
            "telephone_number": "404-663-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "119-402-1782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith E. Mitchell, M.D.
• Kyle Mitchell, PSYD
• Laura Ann Mitchell
• Lauree Wolin Mitchell, PH.D.
• Malika Mitchell, LMSW
• Morlon Mitchell
• N'Jeri K Mitchell, PH.D
• Naiomie Mitchell
• Nichole Cherrie Mitchell, LMSW
• Nyia S Mitchell

• Behavior Analyst in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.