Jessica a. Mitchell, Psy.D, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003084 Issued in CT

Legal business name

JESSICA A. MITCHELL, PSY.D, LLC

Practice address

270 Farmington Ave
Suite 333
Farmington, CT 06032-1909

Phone

(860) 470-3915

Fax

(860) 470-3958

NPI assigned

Dec 2, 2014

Organization subpart

No

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

Authorized official

Name

Jessica A Mitchell, PSY.D.

Title

Owner

Phone

(860) 470-3915

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1508263880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE",
            "address_2": "SUITE 333",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321909",
            "telephone_number": "860-470-3915",
            "fax_number": "860-470-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE",
            "address_2": "SUITE 333",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321909",
            "telephone_number": "860-470-3915",
            "fax_number": "860-470-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA A. MITCHELL, PSY.D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-470-3915",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Stagg ND LLC
• Tiara Jennings, MD
• Haley Jensen, MD
• Candice G Jersey, D.O
• Julia Jesmond, SLP
• Jessica Pietrasiewicz, LPC, LLC
• Pooja Jethwani
• Paul Jevelle, AU.D.
• Jagriti Jha, M.D.
• Nansea Meilin Ji, MD

• Clinical Psychologist in Farmington, CT
• Providers in Farmington, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.