Active NPI
Shanita Davelle Mitchell, ED.S.
- School Psychologist
- Washington, DC
National Provider Identifier
1831569615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1176499
- Practice address
- 3200 6TH St SE
Washington, DC 20032-3801 - Phone
- (202) 939-4900
- NPI assigned
- Oct 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1176499 | NC | Primary |
Addresses
Primary practice location
3200 6TH St SE
Washington, DC 20032-3801
Mailing address
401 Upshur St NW
Apt 1
Washington, DC 20011-4825
Phone (718) 840-7168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1176499 | NC | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1831569615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 UPSHUR ST NW",
"address_2": "APT 1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200114825",
"telephone_number": "718-840-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 6TH ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200323801",
"telephone_number": "202-939-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "SHANITA",
"middle_name": "DAVELLE",
"name_prefix": "Ms.",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NC",
"license": "1176499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.