Mitchell Psychological Services Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS005301L Issued in PA

Legal business name

MITCHELL PSYCHOLOGICAL SERVICES INC

Practice address

5932 Pulaski Ave
Philadelphia, PA 19144-3823

Phone

(215) 849-7945

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa R Romanelli

Title

Billing

Phone

(724) 387-2455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen L Mitchell, PHD

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1003866559
  Medicare reassignment NPD

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1568754018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5932 PULASKI AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443823",
            "telephone_number": "215-849-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5932 PULASKI AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443823",
            "telephone_number": "215-849-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "ROMANELLI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "724-387-2455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005301L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronak Mistry, D.O.
• Leia Joelle Mita, CRNP
• Stiven Mita, DMD
• Donna Jean Mitcham, CRNP
• Elana Beth Mitchel, MD
• Albert B. Mitchell, D.D.S.
• Alexa Kimberly Mitchell
• Andrea Mitchell, MSW, LCSW
• Annette M Mitchell, RN,MSN,CRNP
• Brandy Mitchell

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.