Individual provider Active NPI

Patrick Gerard Mitchell, PSY.D.

  • Clinical Psychologist
  • Bethesda, MD
National Provider Identifier
1265736458
Registry record updated Jan 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04906 Issued in MD
Practice address
7988 Old Georgetown Rd
Old Georgetown Office Park, 8a
Bethesda, MD 20814-2481
Phone
(301) 718-4544
Fax
(301) 718-4545
NPI assigned
Jan 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 04906 MD Primary

Addresses

Primary practice location

7988 Old Georgetown Rd
Old Georgetown Office Park, 8a
Bethesda, MD 20814-2481

Mailing address

7988 Old Georgetown Rd
Old Georgetown Office Park, 8a
Bethesda, MD 20814-2481
Phone (301) 718-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 29, 2019 through Aug 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04906MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1293926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293926400000",
    "number": "1265736458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7988 OLD GEORGETOWN RD",
            "address_2": "OLD GEORGETOWN OFFICE PARK, 8A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142481",
            "telephone_number": "301-718-4544",
            "fax_number": "301-718-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7988 OLD GEORGETOWN RD",
            "address_2": "OLD GEORGETOWN OFFICE PARK, 8A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142481",
            "telephone_number": "301-718-4544",
            "fax_number": "301-718-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PATRICK",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-02",
        "last_updated": "2011-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.