Landis Andrew Mitchner

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

223122 Issued in MA

Practice address

VA Boston HCS
150 South Huntington Avenue
Boston, MA 02130

Phone

(857) 356-5987

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396831822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA BOSTON HCS",
            "address_2": "150 SOUTH HUNTINGTON AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "857-356-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA BOSTON HCS",
            "address_2": "150 SOUTH HUNTINGTON AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "857-356-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHNER",
        "first_name": "LANDIS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "223122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Mitchell, MD
• Stefanie Shannon Mitchell, MS BCBA LABA
• Stephanie Marisa Mitchell, CNM
• Suzanne E Mitchell, MD
• Vivian Gonzalez Mitchell, M.D.
• Marsha D Mitchum, MD
• Olga Mitelman, MD
• Aditya Mithal
• Bruce Howard Mitlak, M.D.
• Jeffrey Mito, M.D., PH.D.

• Psychiatry Physician in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.