Active NPI
Charlie Mitchell, PH.D. P.C.
- Clinical Psychologist
- Apache Junction, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CHARLIE MITCHELL, PH.D. P.C.
- Practice address
- 288 N Ironwood Dr
#110
Apache Junction, AZ 85220-3830 - Phone
- (480) 982-2356
- NPI assigned
- Feb 22, 2007
- Last updated
- Feb 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charlie Mitchell, PH.D.
- Title
- Psychologist
- Phone
- (480) 982-2356
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
288 N Ironwood Dr
#110
Apache Junction, AZ 85220-3830
Mailing address
288 N Ironwood Dr
#110
Apache Junction, AZ 85220-3830
Phone (480) 982-2356
National Provider Directory
National Provider DirectoryLocations
288 N Ironwood Dr
Ste 110
Apache Junction, AZ 85120
Phone (480) 982-2346
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Apache Junction, AZ
- NPI 1902895840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234742400000",
"number": "1437284353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 N IRONWOOD DR",
"address_2": "#110",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "852203830",
"telephone_number": "480-982-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 N IRONWOOD DR",
"address_2": "#110",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "852203830",
"telephone_number": "480-982-2356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLIE MITCHELL, PH.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2009-02-16",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "CHARLIE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "480-982-2356",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.