Michael Richard Mitcheff, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2002941A Issued in IN

Practice address

210 S Race St
Mishawaka, IN 46544-2032

Phone

(744) 046-7555

Fax

(883) 783-4269

NPI assigned

Apr 15, 2016

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 IN

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michiana Neuroscience, LLCGroup PAC ID 0941544712, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

68.9 of 100Reported as group

Quality

26.67

Improvement activities

40

Cost

77.43

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Michiana Neuroscience, LLC

  • Clinical Neuropsychologist
  • Mishawaka, IN
  • NPI 1750862959
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1649624735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S RACE ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442032",
            "telephone_number": "574-229-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S RACE ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442032",
            "telephone_number": "744-046-7555",
            "fax_number": "883-783-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEFF",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "2002941A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mishawaka Osteopathic Clinic
• Mishawaka Osteopathic Clinic
• Mishawaka RCF LP
• Mishawaka Rehab LLC
• Mishawaka Sleep Inc
• Rita M Mitcheff, LCSW
• Airiana Mitchell
• Sacha Lynn Mitchell
• Sonal Dhuper Mittal, MD
• MJ Counseling LLC

• Clinical Neuropsychologist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Clinical Neuropsychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.