Dolly Mishra, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MB07948500 Issued in NJ

Practice address

2250 Chapel Ave W Ste 100
Cherry Hill, NJ 08002-2051

Phone

(856) 482-9000

NPI assigned

Apr 20, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in NJ, DE2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• PHC Meadowwood, LLC

  dba Meadowwood Behavioral Health System

  • Psychiatric Hospital
  • New Castle, DE
  • NPI 1528357357
  Medicare reassignment NPD
• Sun Behavioral Delaware, LLC

  dba SUN Behavioral Delaware

  • Psychiatric Hospital
  • Georgetown, DE
  • NPI 1891213179
  Medicare reassignment NPD

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619194503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 NORWOOD RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542817",
            "telephone_number": "856-381-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 CHAPEL AVE W STE 100",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022051",
            "telephone_number": "856-482-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "DOLLY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB07948500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracles of the Mind, LLC
• Andre Filipe Miranda, MD
• Ashley Miranda
• Therese Mirarchi, RPH
• Deann Mishler, LCSW
• Anne Kathryn Misiura, MD
• Nathaniel Missonellie, LCSW
• Mitchell Brudno DMD LLC
• Mitchell C. Liss, Psy.D., LLC
• Dorothy Mitchell

• Psychiatry Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.