Unique Diamond Lanay Mitchell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1116 Legend Cir
Vallejo, CA 94591-8679

Phone

(707) 647-3972

NPI assigned

Feb 23, 2024

Last updated

Nov 1, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MSK Solutions

  dba Mile High Residential and Behavioral Health

  • Foster Care Agency
  • Vallejo, CA
  • NPI 1265023915
  NPD
• MSK Solutions

  dba Mile High Residential Behavior Health Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Vallejo, CA
  • NPI 1437803178
  NPD

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1316703812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 GEORGIA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 LEGEND CIR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918679",
            "telephone_number": "707-647-3972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4113 Fall Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945346637",
            "country_code": "US",
            "telephone_number": "707-563-0157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "UNIQUE",
        "middle_name": "DIAMOND LANAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilio Mirabilio
• Azra Mirza
• Mark Scott Mistal, RN
• Stephanie Mita
• Jason Allen Mitchell, M.D.
• Vivian Dorothy Mitchell, DSW, LCSW, MSW
• Sara Mizban
• Lauran H. Mizock, MD
• Mobilemax LLC (MobileMax Dental)
• Andrew Modrich

• Case Manager/Care Coordinator in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.