Active NPI
Melanie E. Mitchell, PSY.D
- Psychologist
- Seatac, WA
National Provider Identifier
1649578899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY60116073
- Practice address
- 19550 International Blvd
Seatac, WA 98188-5426 - Phone
- (206) 718-6170
- NPI assigned
- Mar 10, 2011
- Last updated
- Mar 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY60116073 | WA | Primary |
Addresses
Primary practice location
19550 International Blvd
Seatac, WA 98188-5426
Mailing address
2801 1St Ave Apt 1106
Seattle, WA 98121-1140
Phone (206) 718-6170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60116073 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1649578899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 1ST AVE APT 1106",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981211140",
"telephone_number": "206-718-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 INTERNATIONAL BLVD",
"city": "SEATAC",
"state": "WA",
"postal_code": "981885426",
"telephone_number": "206-718-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MELANIE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY60116073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seatac, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.