Mary Ellen Mitchell Haddad, REGISTERED NURSE

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402319 Issued in NY

Practice address

211 E 43Rd St RM 1305
New York, NY 10017-4779

Phone

(646) 899-8237

NPI assigned

Jun 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mary Ellen Mitchell Haddad Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mary Mitchell Haddad Pmhnp LLC

  • Adult Mental Health Clinic/Center
  • New York, NY
  • NPI 1104325695
  NPD (past) Authorized official

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1326569120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST RM 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174779",
            "telephone_number": "646-899-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST RM 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174779",
            "telephone_number": "646-899-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL HADDAD",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "353420-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "88186",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MITCHELL HADDAD",
            "middle_name": "ELLEN",
            "credential": "RN, PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Miki Mitarai
• Katie Mitaszka, PA-C
• Anne Elizabeth Mitch, CNS,LP
• Nicole Mitch, LMT
• Mitchell a. Kline MD PC
• Mitchell J Mandel MDPC
• Mitchell J. Bloom, D.M.D., P.C.
• Mitchell Medical Group of New York PC
• Mitchell S. Levy, Psychologist, P.C.
• Mitchell V Sabbagh DMD PC

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.