Organization Active NPI

Susan E. R. Mitchell, Psy.D., LLC

  • Adult Mental Health Clinic/Center
  • Exton, PA
National Provider Identifier
1477803492
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PS0009172L Issued in PA
Legal business name
SUSAN E. R. MITCHELL, PSY.D., LLC
Practice address
430 Exton CMNS
Exton, PA 19341-2451
Phone
(484) 887-0312
Fax
(267) 295-9905
NPI assigned
Sep 18, 2012
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Dr. Susan E R Mitchell, PSY.D.NPI 1275631160
Title
Owner
Phone
(484) 887-0312

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)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PS0009172L PA Primary

Addresses

Primary practice location

430 Exton CMNS
Exton, PA 19341-2451

Mailing address

430 Exton CMNS
Exton, PA 19341-2451
Phone (484) 887-0312

National Provider Directory

National Provider Directory

Locations

430 Exton Cmns
Exton, PA 19341
Phone (484) 887-0312

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1477803492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412451",
            "telephone_number": "484-887-0312",
            "fax_number": "267-295-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412451",
            "telephone_number": "484-887-0312",
            "fax_number": "267-295-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN E. R. MITCHELL, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-887-0312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "PS0009172L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.