Mitchell L Gelber Edd PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1621 Issued in AZ

Legal business name

MITCHELL L GELBER EDD PC

Practice address

804 Ainsworth Drive
#105
Prescott, AZ 86301

Phone

(928) 777-0919

Fax

(928) 777-8897

NPI assigned

Apr 20, 2006

Organization subpart

No

Name

Dr. Mitchell L Gelber, EDDNPI 1700060316

Title

Licensed Psychologist

Phone

(928) 777-0919

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell L Gelber, ED.D.

  • Psychologist
  • Prescott, AZ
  • NPI 1700060316
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487619342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 AINSWORTH DRIVE",
            "address_2": "#105",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-777-0919",
            "fax_number": "928-777-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 AINSWORTH DRIVE",
            "address_2": "#105",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-777-0919",
            "fax_number": "928-777-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL L GELBER EDD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GELBER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "928-777-0919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Optometry, P. C.
• Carrie Joy Miranda, O. D.
• Janis Lee Missey, PT
• Tetyana Missey
• Timothy D Missey, D.O.
• Shawn Jeffery Mitchell, APRN
• Ted A. Mize I, P.T.
• Daniel Lee Moffat, P.A.C.
• Florin Victor Moisiuc, M.D.
• Brenda Lacey Moles, RN

• All providers in Prescott, AZ
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.