Individual provider Active NPI

Nicholas Mischel, MD

  • Psychiatry Physician
  • Detroit, MI
National Provider Identifier
1679968994
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301119002 Issued in MI
Practice address
3901 Chrysler Dr Ste 3B
Detroit, MI 48201
Phone
(313) 577-1396
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 4301119002 MI Primary

Addresses

Primary practice location

3901 Chrysler Dr Ste 3B
Detroit, MI 48201

Mailing address

3901 Chrysler Dr Ste 3B
Detroit, MI 48201-2167

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Other practice location 2

4995 Bradenton Ave Ste 130
Dublin, OH 43017-3551
Phone (614) 580-6917

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmischel194522@direct.hfhs.org Health Information Exchange (HIE) Henry Ford Health System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20190830001689 MI Practitioner - Psychiatry 2264761154 Reassigns benefits to 3 organizations
I20231026001554 OH Practitioner - Psychiatry 2264761154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mynd Thera PLLCGroup PAC ID 2062937964, 2 clinicians
Arman C Moshyedi MD PLLCGroup PAC ID 1658603576, 13 clinicians
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

19815 Mack Ave
Suite B
Grosse Pointe Woods, MI 48236-2505
Phone (313) 926-6075

305 E Eisenhower Pkwy
Suite 316
Ann Arbor, MI 48108-3348
Phone (855) 940-4867

3901 Chrysler Dr
Detroit, MI 48201-2167

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

6071 W Outer Dr
Detroit, MI 48235-2624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301119002MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Psychiatry of Michigan PLLC CurrentSince Aug 1, 2025 Accepting new patients
University Physician Group CurrentSince Jul 22, 2019 Accepting new patients
Mynd Thera PLLC Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
Kamran F. Sheikh MD PC Past Accepting new patients
Concord Psychiatry, LLC Past Accepting new patients
University Physician Group PastSince Jul 25, 2019 Accepting new patients
Sacred Heart Medical Centre PC Past Accepting new patients

Locations

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

3901 Chrysler Dr
Ste 3B
Detroit, MI 48201
Phone (313) 577-1396

19815 Mack Ave
Ste B
Grosse Pointe Woods, MI 48236
Phone (313) 516-7143

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

650 E Big Beaver Rd
Ste C
Troy, MI 48083
Phone (248) 781-8921

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

310 E Boalt St
Ste E
Sandusky, OH 44870
Phone (419) 370-0880

3454 Oak Alley Ct
Ste 308
Toledo, OH 43606
Phone (419) 442-0800

Interoperability endpoints

  • Direct secure messaging: nicholas.mischel.1@18773.direct.athenahealth.com
  • Direct secure messaging: nicholas.mischel.1@19711.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1679968994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CHRYSLER DR STE 3B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CHRYSLER DR STE 3B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-577-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4995 Bradenton Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430173551",
            "country_code": "US",
            "telephone_number": "614-580-6917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISCHEL",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301119002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmischel194522@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Health System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.