Grant E Mitchell, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

171901 Issued in NY

Practice address

297 Knollwood Rd
Suite 305
White Plains, NY 10607-1833

Phone

(914) 287-0771

Fax

(914) 287-0771

NPI assigned

Mar 14, 2006

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Icahn School of Medicine at Mount Sinai

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
  • NPI 1033482518

  NY

  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Surgery Physician
  • New York, NY
  • NPI 1104295716

  NY

  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Internal Medicine Physician
  • New York, NY
  • NPI 1568868834

  Psychiatry

  NPD
• Icahn School of Medicine at Mount Sinai

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• Icahn School of Medicine at Mount Sinai

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1922477538
  NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294531200000",
    "number": "1477521540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 KNOLLWOOD RD",
            "address_2": "SUITE 305",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071833",
            "telephone_number": "914-287-0771",
            "fax_number": "914-682-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 KNOLLWOOD RD",
            "address_2": "SUITE 305",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071833",
            "telephone_number": "914-287-0771",
            "fax_number": "914-287-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GRANT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "171901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurence S. Miressi, RPH
• Patricia Miro, FNP
• Mirra Pharmacy Corp
• Rachel Marie Mitaritonna, SWI
• Elisabeth Sheridan Mitchell, PHD
• Tina Mitchell, RN INFUSION
• Daniel J Mittleman, OD
• Howard Mizrachi, M.D.
• ML Psychological Services PLLC
• Stefan John Mlot, M.D.

• Psychiatry Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.