NPIMap

Organization Active NPI

John Mitchell MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Allentown, PA
National Provider Identifier
1871683573
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
213680 Issued in PA
Legal business name
JOHN MITCHELL MD PC
Practice address
1605 N Cedar Crest Blvd Ste 502
Allentown, PA 18104-2355
Phone
(610) 351-0625
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mrs. Joy Keip
Title
Operations Manager
Phone
(610) 351-0625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 213680 PA Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 397040 PA

Addresses

Primary practice location

1605 N Cedar Crest Blvd Ste 502
Allentown, PA 18104-2355

Mailing address

1605 N Cedar Crest Blvd Ste 502
Allentown, PA 18104-2355
Phone (610) 351-0625

Other practice location 1

555 Harrison St
Emmaus, PA 18049
Phone (610) 965-6418

Other identifiers 13

IdentifierTypeStateIssuer
1862OtherHIGHMARK BS
390766OtherCAPITAL BLUE CROSS
A926OtherAMERIHEALTH ADMIN
1881742377OtherCBC, HIGHMARK
2181265OtherCIGNA BEH HEALTH
476535OtherVALUE OPTIONS
014261OtherMANAGED HEALTH NETWORK
0014259640001MedicaidPA
102791000OtherMAGELLAN BEH HEALTH
A3159040OtherOXFORD HEALTH PLAN
0002391000OtherINDEPENDENCE BLUE CROSS
0008496118OtherAETNA
1861OtherHIGHMARK BS

National Provider Directory

National Provider Directory

Locations

1605 N Cedar Crest Blvd
Ste 502
Allentown, PA 18104
Phone (610) 351-0625

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1871683573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 502",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042355",
            "telephone_number": "610-351-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 502",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042355",
            "telephone_number": "610-351-0625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Emmaus",
            "state": "PA",
            "postal_code": "18049",
            "country_code": "US",
            "telephone_number": "610-965-6418",
            "fax_number": "610-965-6382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN MITCHELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KEIP",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "610-351-0625",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "213680",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "397040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "390766",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMIN",
            "identifier": "A926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC, HIGHMARK",
            "identifier": "1881742377",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEH HEALTH",
            "identifier": "2181265",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "476535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "014261",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014259640001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEH HEALTH",
            "identifier": "102791000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "A3159040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0002391000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0008496118",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.