Active NPI
Susan Law Mitchell, RDN
- Registered Dietitian
- New London, CT
National Provider Identifier
1407553522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 634
- Practice address
- 194 Howard St
New London, CT 06320-5544 - Phone
- (860) 444-4737
- Fax
- (860) 865-2375
- NPI assigned
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 634 | CT | Primary |
Addresses
Primary practice location
194 Howard St
New London, CT 06320-5544
Mailing address
31 Trumbull St
Pawcatuck, CT 06379-2515
Phone (860) 287-4142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
91 Voluntown Rd
Pawcatuck, CT 06379-1366
Phone (860) 599-5477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
194 Howard St
New London, CT 06320
Phone (860) 442-0564
91 Voluntown Rd
Pawcatuck, CT 06379
Phone (860) 599-5477
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Dietitian, Registered
-
- Geriatric Medicine (Internal Medicine) Physician
- New Haven, CT
- NPI 1891019675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1407553522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 TRUMBULL ST",
"city": "PAWCATUCK",
"state": "CT",
"postal_code": "063792515",
"telephone_number": "860-287-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 HOWARD ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063205544",
"telephone_number": "860-444-4737",
"fax_number": "860-865-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "SUSAN",
"middle_name": "LAW",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.