Sandra M Mitchell, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

1100 E Dimond Blvd
Anchorage, AK 99515-2010

Phone

(907) 565-6000

Fax

(907) 565-6001

NPI assigned

Jul 10, 2013

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 AK

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

Specialty

Clinical Psychologist

Education

University of Florida College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anchorage Bariatrics, LLCGroup PAC ID 0042505018, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Anchorage Bariatrics, LLC

  • Surgery Physician
  • Anchorage, AK
  • NPI 1174076822
  Medicare reassignment Care Compare group NPD
• Alaska Neurology Center LLC

  • Neurology Physician
  • Anchorage, AK
  • NPI 1235310954
  Medicare reassignment NPD
• Fuller Diagnostics, LLC

  • Clinical Neuropsychologist
  • Anchorage, AK
  • NPI 1326152711
  Medicare reassignment NPD
• Providence Health & Services - Washington

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1538254347
  Medicare reassignment NPD
• Providence Health & Services- Washington

  • Critical Care Medicine (Internal Medicine) Physician
  • Anchorage, AK
  • NPI 1093956278
  Medicare reassignment NPD
• Providence Health & Services-Washington

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1841814795
  NPD

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1235570979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E DIMOND BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152010",
            "telephone_number": "907-565-6000",
            "fax_number": "907-565-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DIMOND BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152010",
            "telephone_number": "907-565-6000",
            "fax_number": "907-565-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Ann Mitchell, LPC
• Mark A Mitchell, D.C.
• Mary Mitchell
• Melissa Anne Mitchell, CMTPT, LMT, CAMT
• Michael A. Mitchell, D.C.
• Shelby Mitchell, PT, DPT
• Tisha Mitchell
• Richard Wells Mittelstadt, DDS
• Geoffrey John Mittelsteadt, APRN
• Melody Carter Mittelsteadt, RN

• Clinical Neuropsychologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinical Neuropsychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.