Timothy S Mitzel, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS006035-L Issued in PA

Practice address

4900 Perry Hwy Ste 1
Pittsburgh, PA 15229-2236

Phone

(412) 307-5600

Fax

(412) 301-0441

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

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

PsychiatryAlso: Geriatric Medicine

Education

Kansas City College of Medicine and Surgery, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Collaborative Psychiatric ServicesGroup PAC ID 9830434885, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Collaborative Psychiatric Services

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1922574177
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1285656785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 PERRY HWY STE 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152292236",
            "telephone_number": "412-683-0756",
            "fax_number": "412-301-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 PERRY HWY STE 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152292236",
            "telephone_number": "412-307-5600",
            "fax_number": "412-301-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITZEL",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS006035-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PA",
            "identifier": "673053",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012615110002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "631569",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "110288",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashima Mittal, MD
• Bethany Mittelman, MA, LPC
• Lynn Anne Mitterer, R.PH.
• John Frank Mittner Jr., LPC
• Stacey Michelle Mitts, R.N.
• Jackson Robinson Mitzner, MD
• Joselyne Mivumbi-Rosenberg
• Candace Mix, MSN, RN, PMHCNS-BC
• Aida Miyagusuku Chang, MD
• Takisha Miyares

• Psychiatry Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.