Mitchell Scott Weisbrod, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008984 Issued in MI

Practice address

437 Fern Ave Ste C
Jackson, MI 49202-3970

Phone

(989) 292-3592

Fax

(517) 780-9239

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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 MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinton County Medical Center Psychological Services PLLCGroup PAC ID 4082843412, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Clinton County Medical Center Psychological Services PLLC

  • Mental Health Counselor
  • Saint Johns, MI
  • NPI 1871931055
  Medicare reassignment Care Compare group NPD
• W. a. Foote Memorial Hospital, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MI
  • NPI 1326078866

  Psychologist

  Medicare reassignment NPD
• Clinton County Medical Center Psychological Services PLLC

  • Family Medicine Physician
  • Saint Johns, MI
  • NPI 1538973144

  Clinical

  NPD
• W.a. Foote Memorial Hospital, Inc

  • Clinical Psychologist
  • Jackson, MI
  • NPI 1417494378
  NPD
• W.a. Foote Memorial Hospital, Inc

  • Physician Assistant
  • Jackson, MI
  • NPI 1538606348
  NPD
• Behavioral Wellness Center LLC

  • Counselor
  • Hillsdale, MI
  • NPI 1174281364
  NPD (past)
• John S Hand PHD PC & Associates

  • Psychologist
  • Jackson, MI
  • NPI 1740325786
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1629141007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S WEST AVE",
            "address_2": "STE 1",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012085",
            "telephone_number": "517-544-7700",
            "fax_number": "517-612-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 FERN AVE STE C",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023970",
            "telephone_number": "989-292-3592",
            "fax_number": "517-780-9239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Waterford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "MI",
            "postal_code": "488799630",
            "country_code": "US",
            "telephone_number": "989-292-3572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISBROD",
        "first_name": "MITCHELL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rory Webster
• Sarah Albrecht Webster, CRNA
• Judith Ellen Weed, NP
• Melanie J Weesies, ATC
• Annette C. Wegman, RN
• Elizabeth Ann Weisman, CSW
• Mark E. Weiss, PHARM. D.
• Kelly N Welch, LLMSW
• Welcome Pharmacies, Inc.
• Michaela Puno Weller, MD

• Clinical Psychologist in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.