Mitchell Psychological Associates LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

201200144 Issued in MO

Legal business name

MITCHELL PSYCHOLOGICAL ASSOCIATES LLC

Practice address

701 W High St
Jefferson City, MO 65101-1525

Phone

(573) 793-2053

Fax

(573) 793-2053

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Stone, PSYD

Title

Owner

Phone

(573) 793-2053

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1548662638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 KINDERHOOK COUNTY RD",
            "city": "BRUMLEY",
            "state": "MO",
            "postal_code": "650173531",
            "telephone_number": "573-793-2053",
            "fax_number": "573-793-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W HIGH ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651011525",
            "telephone_number": "573-793-2053",
            "fax_number": "573-793-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL PSYCHOLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-793-2053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "201200144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri Schools for the Severely Disabled
• Missouri Spine Institute, LLC
• Missouri Vein Care, LLC
• Missouri Veterans Commission
• Nicole Renee Mistler, FNP
• Sherri Mitchell, RPT
• Gwendolyn A Moe, PHYSICAL THERAPIST
• Destri Lora Moffat, OTR/L
• Danielle Sue Moffatt, PT, DPT
• Pamela Monroe

• Psychologist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.