Individual provider Active NPI

Mitchel G Katz, MD

  • General Practice Physician
  • Rocky Hill, CT
National Provider Identifier
1245242601
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
028721 Issued in CT
Practice address
1086 Elm St
Suite 101a
Rocky Hill, CT 06067
Phone
(860) 757-3352
Fax
(860) 757-3704
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 028721 CT
General Practice Physician 208D00000X 028721 CT Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 70050328 WA

Addresses

Primary practice location

1086 Elm St
Suite 101a
Rocky Hill, CT 06067

Mailing address

1086 Elm St
Suite 101a
Rocky Hill, CT 06067
Phone (860) 757-3352

Other practice location 1

1940 116th Ave NE Ste 200B
Bellevue, WA 98004-3097
Phone (425) 276-1825

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70050328WAMDBehavioral Neurology & Neuropsychiatry Physician
028721CTMDGeneral Practice Physician
028721NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC PastSince Jan 1, 1990 Accepting new patients
Ascend Autism OT & SLP Services PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1245242601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 ELM ST",
            "address_2": "SUITE 101A",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-757-3352",
            "fax_number": "860-757-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 ELM ST",
            "address_2": "SUITE 101A",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-757-3352",
            "fax_number": "860-757-3704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 116th Ave NE Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043097",
            "country_code": "US",
            "telephone_number": "425-276-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MITCHEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "028721",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "028721",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "WA",
            "license": "70050328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2025; 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.