John Mitchell, MD PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JOHN MITCHELL, MD PC

Practice address

555 Harrison St
Emmaus, PA 18049

Phone

(610) 965-6418

Fax

(610) 965-6382

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

John F. Mitchell, MD

Title

Owner

Phone

(610) 965-6418

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Psychiatric & Counseling Associates Doing business as

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1881742377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HARRISON ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "18049",
            "telephone_number": "610-965-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HARRISON ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "18049",
            "telephone_number": "610-965-6418",
            "fax_number": "610-965-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MITCHELL, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-965-6418",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008071950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatric & Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joseph Kavchok Jr., M.D.

• All providers in Emmaus, PA
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.