Colleen A. Mitchell, PSY

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-008414 Issued in IL

Practice address

704 Katie Court
Cambridge, WI 53523

Phone

(608) 423-1100

Fax

(608) 423-9851

NPI assigned

Jun 21, 2011

Last updated

Dec 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Colleen A. Mitchell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1548556293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 KATIE COURT",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "53523",
            "telephone_number": "608-423-1100",
            "fax_number": "608-423-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 KATIE COURT",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "53523",
            "telephone_number": "608-423-1100",
            "fax_number": "608-423-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "COLLEEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-008414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "MITCHELL",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "PSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gordon Roy Marsden, PA-C
• Shayla Rachelle Martin
• Kathleen T. McGinnity, M.S.
• Mary Jane Mihajlovic, RN, BSN
• Katherine Anne Miles, L.C.S.W.
• Anna Maria Myklebust, MD
• Stephanie L Nottestad, M.D.
• Bruce Ray Pett, DDS
• School District of Cambridge
• Jacqueline M Schuh, LCSW

• Clinical Psychologist in Cambridge, WI
• Providers in Cambridge, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.