Individual provider Active NPI

Jo Ann Mitchell, PHD

  • Psychologist
  • McAllen, TX
National Provider Identifier
1891770863
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2-2198 Issued in TX
Practice address
711 N McColl Rd
Ste a
McAllen, TX 78501-9336
Phone
(956) 627-3738
Fax
(956) 627-1465
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2-2198 TX Primary

Addresses

Primary practice location

711 N McColl Rd
Ste a
McAllen, TX 78501-9336

Mailing address

711 N McColl Rd
Ste a
McAllen, TX 78501-9336
Phone (956) 627-3738

Other identifiers 1

IdentifierTypeStateIssuer
172146601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623001412 TX Practitioner - Clinical Psychologist 1456336353 Practice locations: McAllen, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 N McColl Rd
Suite a
McAllen, TX 78501-9389
Phone (956) 627-3738

711 N McColl Rd a
McAllen, TX 78501-9389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2-2198TXMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1891770863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N MCCOLL RD",
            "address_2": "STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019336",
            "telephone_number": "956-627-3738",
            "fax_number": "956-627-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N MCCOLL RD",
            "address_2": "STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019336",
            "telephone_number": "956-627-3738",
            "fax_number": "956-627-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JO ANN",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-2198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172146601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.