Melanie Mitchell, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017578 Issued in MI

Practice address

4468 3Rd St
Detroit, MI 48201-1134

Phone

(313) 524-1422

Fax

(313) 523-4025

NPI assigned

Jul 1, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• LCP Services NC PLLC

  • Psychologist
  • Wilmington, NC
  • NPI 1366116485
  Medicare reassignment NPD
• Best Life Psychological Services LLC

  • Clinical Psychologist
  • Detroit, MI
  • NPI 1326878778
  NPD Authorized official
• Cognitive Behavior Therapy Center

  • Psychologist
  • Chesapeake, VA
  • NPI 1861075988
  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1215342035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4468 3RD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011134",
            "telephone_number": "313-524-1422",
            "fax_number": "313-523-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4468 3RD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011134",
            "telephone_number": "313-524-1422",
            "fax_number": "313-523-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lazarie Mitchell
• Lonnie David Mitchell, CPRM
• Lydia Meredith Mitchell, LLMSW
• Madaline Renee Mitchell
• Mary Catherine Mitchell, PA-C
• Michelle M Mitchell
• Nichole Maurine Mitchell
• Rakiba L Mitchell, LPC, NCC
• Rickkey Mitchell
• Robert Mitchell

• Clinical Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.