David Mittelman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

007389 Issued in MI

Practice address

29551 Greenfield Rd Ste 204
Southfield, MI 48076-5872

Phone

(248) 980-8349

Fax

(248) 848-3592

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counseling Associates IncGroup PAC ID 0648225664, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Counseling Associates Inc

  • Mental Health Counselor
  • West Bloomfield, MI
  • NPI 1629069471
  Medicare reassignment Care Compare group NPD
• Northbrook Psychological Clinic PLC

  • Psychologist
  • Novi, MI
  • NPI 1841279288
  Medicare reassignment NPD
• David N Mittelman PHD LLC

  • Clinical Psychologist
  • Southfield, MI
  • NPI 1518840073
  NPD Authorized official
• Carol a. Roekle, M.D., P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farmington Hills, MI
  • NPI 1659419257
  NPD (past)
• Counseling Associates, Incorporated

  • Social Worker
  • West Bloomfield, MI
  • NPI 1356716559

  Psychologist

  NPD (past)
• Seniors Wellness Group of Michigan, P.C.

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1801848718
  NPD (past)
• Bobbi Ebsen Psychotherapy LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1689012379
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1669427639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29551 GREENFIELD RD STE 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765872",
            "telephone_number": "248-980-8349",
            "fax_number": "248-848-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29551 GREENFIELD RD STE 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765872",
            "telephone_number": "248-980-8349",
            "fax_number": "248-848-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTELMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "007389",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "007389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilliana Mitchell
• Malissa Mitchell
• Merry R Mitchell, RN
• Michele Mitchell
• Vijay K Mittal, MD
• Joseph Mittner, DO
• Miycrnas LLC
• Codi Mize
• Mizpah Group Home Inc
• Thomas A Mladsi, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.