Richard Mitchell

Organization Active NPI Prescribing (Medical) Psychologist · Clancy, MT

NPI 1720825201 · NPPES record last updated Jul 13, 2024

Key facts

NPI
1720825201
Entity type
Organization (NPI type 2)
Primary specialty
Prescribing (Medical) Psychologist 103TP0016X
Legal business name
RICHARD MITCHELL
Practice address
15 Raptor Ridge Dr
Clancy, MT 59634-8545
Phone
(406) 616-6503
Fax
(800) 480-7615
NPI assigned
Jul 11, 2024
Organization subpart
No

Authorized official

Name
Dr. Richard Edmund Mitchell, DO, MS
Title
Psychiatrist/Ceo
Phone
(406) 616-6503

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TP0016X Yes

Addresses

Primary practice location

15 Raptor Ridge Dr
Clancy, MT 59634-8545

Mailing address

15 Raptor Ridge Dr
Clancy, MT 59634-8545
Phone (406) 616-6503

Other names

  • Fireside Psychiatry, LLC Doing business as

Other providers in Clancy, MT

All providers in Clancy, MT · Prescribing (Medical) Psychologist in Montana

Sources for this page

Verify at the official NPI Registry.