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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell L Gelber, EDDNPI 1700060316

Title

Licensed Psychologist

Phone

(928) 777-0919

Specialties & licenses 1

Addresses

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.

• Mitchell L Gelber, ED.D.

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

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

{
    "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

• Psychologist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• 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.