Monique Mitchell, PMHCNS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

RN178113 Issued in MA

Practice address

22 Christy Dr
Brockton, MA 02301-1839

Phone

(508) 580-4611

NPI assigned

Oct 5, 2016

Sex

Female

Sole proprietor

No

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 MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hanover Psychiatry Group LLCGroup PAC ID 6800257387, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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.

• Hanover Psychiatry Group LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Hanover, MA
  • NPI 1174257919
  Medicare reassignment Care Compare group NPD
• Westside Behavioral Health, LLC

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1689720302
  Medicare reassignment
• Boston University Psychiatry Associates, Inc.

  • Psychiatry Physician
  • Boston, MA
  • NPI 1073619854
  NPD (past)

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1316497191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011839",
            "telephone_number": "508-580-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011839",
            "telephone_number": "508-580-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MONIQUE",
        "credential": "PMHCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN178113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Possible Concierge Services
• Avery Mitchell
• Janaya Mitchell
• Jennifer Mitchell
• Kristen Forrest Mitchell
• John Mitko
• Damian Mitrano
• Shauhin Sean Moazezi, DO
• Lakisha Y Mobley, APRN
• Nicole Modes

• Psychiatric/Mental Health Clinical Nurse Specialist in Brockton, MA
• Providers in Brockton, MA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.