Richard Edmund Mitchell, D.O.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

MED-PHYS-LIC-67970 Issued in MT

Practice address

15 Raptor Ridge Dr
Clancy, MT 59634-8545

Phone

(406) 616-6503

Fax

(800) 480-7615

NPI assigned

Jun 5, 2012

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MT

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

Specialty

Psychiatry

Education

Pacific NW Un of HS, Col of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard Mitchell

  dba Fireside Psychiatry, LLC

  • Prescribing (Medical) Psychologist
  • Clancy, MT
  • NPI 1720825201
  NPD Authorized official
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1528329646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RAPTOR RIDGE DR",
            "city": "CLANCY",
            "state": "MT",
            "postal_code": "596348545",
            "telephone_number": "406-616-2503",
            "fax_number": "800-480-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RAPTOR RIDGE DR",
            "city": "CLANCY",
            "state": "MT",
            "postal_code": "596348545",
            "telephone_number": "406-616-6503",
            "fax_number": "800-480-7615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 W Park St",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597011713",
            "country_code": "US",
            "telephone_number": "406-497-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RICHARD",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MT",
            "license": "MED-PHYS-LIC-67970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Jones, RD, LN
• Mark Donald Kishbaugh, DMSC, PA-C
• Kristen M Lamping, FNP-C
• Sheralyn Thompson Marble, R.N.
• Carol Schmid McEvoy, M.A.
• Montana City School District No. 27
• Joseph David Murphy, MD
• Hannah Marie Nixon, PSYCHOLOGIST
• Opulence Health, PLLC
• Rebekah Kay Price Orr, MS, LCPC

• Prescribing (Medical) Psychologist in Clancy, MT
• Providers in Clancy, MT by specialty
• Prescribing (Medical) Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.