Matthew Robert Mitchell, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

14283532-1205 Issued in UT

Practice address

3549 N University Ave
Provo, UT 84604-4487

Phone

(385) 284-7615

NPI assigned

Mar 24, 2021

Last updated

Aug 4, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Arizona College of Medicine - Phoenix, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Az Holding 4, LLCGroup PAC ID 9133511801, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Az Holding 4, LLC

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1447906508
  Medicare reassignment Care Compare group NPD
• Uhs of Phoenix, LLC

  dba Quail Run Behavioral Health

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1740604636
  Medicare reassignment NPD
• Apex Mental Health PLLC

  • Psychiatry Physician
  • Provo, UT
  • NPI 1730003781
  NPD (past) Authorized official

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1255918462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044487",
            "telephone_number": "385-284-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "14283532-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Warren Mitchell, M.D.
• Cari Mitchell, MFTI
• Charles Robinson Mitchell, M.D.
• Jace Harrison Mitchell, RBT
• John H Mitchell, MD
• Melissa Rene Mitchell
• Patrick Andrew Mitchell
• Yoshiko Miyake, MA, CMHC
• Josef Miyasato
• Scott Curtis Moberg, DO

• Psychiatry Physician in Provo, UT
• Providers in Provo, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.