Josharon Mutchler, MD, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301080782 Issued in MI

Legal business name

JOSHARON MUTCHLER, MD, PLLC

Practice address

2035 28TH St SE
Suite P
Grand Rapids, MI 49508-1594

Phone

(616) 245-2464

Fax

(616) 452-0728

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Kim Swisher

Title

Billing

Phone

(616) 235-2090

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1245486919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120125",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495280103",
            "telephone_number": "616-235-2090",
            "fax_number": "616-235-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 28TH ST SE",
            "address_2": "SUITE P",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081594",
            "telephone_number": "616-245-2464",
            "fax_number": "616-452-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHARON MUTCHLER, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "SWISHER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "616-235-2090"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301080782",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301080782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph, MD
• Paul Richard Joseph, MD
• Timothy Andrew Joseph, M.D.
• Kyle Douglas Josephson, MD
• Elizabeth Gwinnett Josey, LMSW
• Parth Manoj Joshi, M.D.
• Joshua Colby Counseling PLLC
• Joshua E Baron
• Joshua Palmateer DMD and Katelyn Palmateer DMD, PLLC
• Joshua Wansten DDS PLC

• Psychiatry Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.