Christina M Mitcham PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088032 Issued in MI

Legal business name

CHRISTINA M MITCHAM PLLC

Practice address

1749 Hamilton Rd
Suite 203
Okemos, MI 48864

Phone

(517) 331-9099

Fax

(517) 993-5713

NPI assigned

Dec 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Christina M Mitcham, LCSW

Title

Psychotherapist / Owner

Phone

(616) 706-2725

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1780129833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 HAMILTON RD",
            "address_2": "SUITE 203",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-331-9099",
            "fax_number": "517-993-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 HAMILTON RD",
            "address_2": "SUITE 203",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-331-9099",
            "fax_number": "517-993-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA M MITCHAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "MITCHAM",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST / OWNER",
        "authorized_official_telephone_number": "616-706-2725",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Chiu, M.D.
• Nina Mackenzie Chmura
• Eugene B Choo, MD
• Aaron Chrenka
• Oghogheneviano Chris-Ukoko
• McKenna Chrysler
• Mary T Chu, PHARM.D.
• Ryan Chute, PHARM.D.
• Kelly Cipriano, PT, DPT
• Alison Lea Cisneros, LMSW

• Clinical Social Worker in Okemos, MI
• Providers in Okemos, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.