Individual provider Active NPI

Kyle Mitchell, PSYD

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1295693257
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
027851 Issued in NY
Practice address
203 Jay St
Brooklyn, NY 11201-4398
Phone
(347) 304-9465
NPI assigned
Jan 9, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 027851 NY Primary

Addresses

Primary practice location

203 Jay St
Brooklyn, NY 11201-4398

Mailing address

486 E 28TH St Apt 503
Brooklyn, NY 11226-7994
Phone (317) 690-7903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211001373 NY Practitioner - Clinical Psychologist 5890274617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

203 Jay St
Suite 501
Brooklyn, NY 11201-4398
Phone (347) 304-9465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027851NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Psychologist CurrentSince Mar 9, 2026 Accepting new patients

Locations

203 Jay St
Ste 501
Brooklyn, NY 11201
Phone (347) 304-9465

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

Organizations & group practices 1

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": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1295693257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 E 28TH ST APT 503",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267994",
            "telephone_number": "317-690-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 JAY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014398",
            "telephone_number": "347-304-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "027851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.