Michael L Mishkin

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS860 Issued in FL

Practice address

101 E Maud St
Tavares, FL 32778-3249

Phone

(352) 253-9348

Fax

(352) 253-9351

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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 & Development Center Inc

  • Counseling Psychologist
  • Tavares, FL
  • NPI 1851327514
  NPD (past)
• Neuropsychology & Counseling Services PA

  • Psychologist
  • Tavares, FL
  • NPI 1588860670
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699709170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAUD ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783249",
            "telephone_number": "352-253-9348",
            "fax_number": "352-253-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAUD ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783249",
            "telephone_number": "352-253-9348",
            "fax_number": "352-253-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHKIN",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael M. Morgan, D.M.D, PA
• Eric Miller
• Theresa Ann Mills, MD
• Lakeshia Milsap
• Mackenzie Aileen Miranda Padilla
• Joseph Samuel Moak III, M.D.
• Abdul Sattar Shariq Mohammed
• Sameh Nazeeh Adly Mohareb, MD, M.B.,BCH.
• Diana N Moldoveanu, M.D.
• Thessamar Moncrieffe, PMHNP

• All providers in Tavares, FL
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.