Percy D Mitchell Jr M D & Associates LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

35-035446 Issued in OH

Legal business name

PERCY D MITCHELL JR M D & ASSOCIATES LLC

Practice address

1045 Summitt SQ
Middletown, OH 45042-3464

Phone

(513) 727-1987

Fax

(513) 727-0918

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Percy David Mitchell Jr., M.D.NPI 1326106436

Title

President

Phone

(513) 727-1987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Percy David Mitchell Jr., MD

  • Psychiatry Physician
  • Middletown, OH
  • NPI 1326106436
  Medicare reassignment Care Compare group NPD Authorized official
• Laurie Etta Mitchell, LISW, ACSW

  • Social Worker
  • Middletown, OH
  • NPI 1962730622
  Medicare reassignment Care Compare group NPD
• Melissa J Renner, CNP

  • Psychiatric/Mental Health Registered Nurse
  • Middletown, OH
  • NPI 1316005002
  Medicare reassignment Care Compare group NPD
• Jeffrey John Yetter, M.ED., LPCC

  • Professional Counselor
  • Middletown, OH
  • NPI 1851459333
  Medicare reassignment Care Compare group NPD
• Heather M. Holland, L.P.C.C.

  • Professional Counselor
  • Middletown, OH
  • NPI 1558565820
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316099674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 SUMMITT SQ",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-727-1987",
            "fax_number": "513-727-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SUMMITT SQ",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-727-1987",
            "fax_number": "513-727-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERCY D MITCHELL JR M D & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PERCY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-727-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "35-035446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne G Pendleton Jr.
• Evynn Pennington
• Timothy Mark Pennington, NP-C
• Tina Marie Pennington, LPN
• Traci Susanne Pennock, D.C.
• Sharon K Perry, LSW
• Teresa Perry
• Pers Now, LLC
• Deanna Marie Persiani, DNP, FNP-BC, FNP-C
• Valerie Pfeiffer, LPN

• Mental Health Counselor in Middletown, OH
• Providers in Middletown, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.