Charles Hopkins Mitchell, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

T-1030 Issued in NH

Practice address

50 Monument SQ
Portland, ME 04101-4039

Phone

(207) 874-1055

Fax

(207) 774-5901

NPI assigned

Jul 26, 2006

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME

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 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ingraham

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1356496483
  Authorized official Same address or phone
• Andrew C Curtin PA

  • Social Worker
  • Yarmouth, ME
  • NPI 1790716959

  Multi-Specialty

  NPD (past)
• Community Concepts Incorporated

  • Community/Behavioral Health Agency
  • Rumford, ME
  • NPI 1962591230

  Multi-Specialty

  NPD (past)
• Community Concepts, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Rumford, ME
  • NPI 1275774739
  NPD (past)
• Ingraham

  • Adult Mental Health Clinic/Center
  • Portland, ME
  • NPI 1033216106

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1700800703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571843",
            "telephone_number": "603-292-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MONUMENT SQ",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014039",
            "telephone_number": "207-874-1055",
            "fax_number": "207-774-5901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Main St",
            "address_purpose": "LOCATION",
            "city": "Newmarket",
            "state": "NH",
            "postal_code": "038571835",
            "country_code": "US",
            "telephone_number": "603-292-7292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHARLES",
        "middle_name": "HOPKINS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "012955",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "T-1030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213910000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter M Mirkin, M.D.
• Brittany Misercola, M.D.
• Zara Misler, BCBA
• Bayan Missaghi, MD
• Andrew Mitchell
• Elizabeth Mitchell, LMT
• Johanna Mitchell, BCBA
• Kayla Mitchell
• Sean Mitchell, LCPC-C, NCC
• Steven W Mitchell, LMT

• Psychiatry Physician in Portland, ME
• Providers in Portland, ME by specialty
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.