Cayla Mitzkovitz

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

5096 Issued in CT

Practice address

1280 E Campus Dr BLDG 1101
Mount Pleasant, MI 48858-3803

Phone

(989) 774-2284

NPI assigned

Apr 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Neuropsychological Associates LLCGroup PAC ID 9638494446, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmitzkovitz240356@direct.bmc.masshiway.net

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.

• Connecticut Neuropsychological Associates, LLC

  • Clinical Psychologist
  • Norwich, CT
  • NPI 1497151245

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD
• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  NPD
• Eastern Connecticut Rehabili

  • Physical Therapy Clinic/Center
  • Gales Ferry, CT
  • NPI 1700895729
  NPD (past)

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1457970576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OTROBANDO AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602116",
            "telephone_number": "860-889-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 E CAMPUS DR BLDG 1101",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583803",
            "telephone_number": "989-774-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITZKOVITZ",
        "first_name": "CAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "5096",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "5096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORAL STUDENT",
            "identifier": "390200000X",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapynotes.org",
            "affiliation": "Y",
            "affiliationName": "Ronan Psychological Associates, LLC",
            "address_1": "201 S. University Avenue",
            "city": "Mt. Pleasant",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitch PC
• Mitchel Osman M.D. P.a.
• Lisa Lynne Mitchell Carpenter, L.P.C.
• Adrienne Prince Mitchell, MA CCC-SLP/L
• Brittany Lynn Mitton, TLLP
• Mlwigren Consulting LLC
• MMH Counseling Services
• Carissa Moeggenberg, MA
• Forrie Ann Moeggenberg, LBSW
• Jeremy Adam Moeggenberg, PSYD.

• Clinical Neuropsychologist in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.