Active NPI
Elaine A Mitchell, D.O.
- Psychiatry Physician
- Eugene, OR
National Provider Identifier
1932176948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO24918
- Practice address
- 859 Willamette St Ste 330
Eugene, OR 97401 - Phone
- (541) 344-5363
- Fax
- (541) 344-5369
- NPI assigned
- Mar 8, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO24918 | OR | Primary |
Addresses
Primary practice location
859 Willamette St Ste 330
Eugene, OR 97401
Mailing address
859 Willamette St Ste 330
Eugene, OR 97401
Phone (541) 344-5363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276099 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 5, 2014 through Mar 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO24918 | OR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Valley Psychiatric Medicine | Psychiatry | Past | Accepting new patients |
| St Mary'S Hospital and Medical Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Eugene, OR
- NPI 1174663793
-
- Hematology & Oncology Physician
- Grand Junction, CO
- NPI 1275714081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1932176948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 WILLAMETTE ST STE 330",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-344-5363",
"fax_number": "541-344-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 WILLAMETTE ST STE 330",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-344-5363",
"fax_number": "541-344-5369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ELAINE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "DO24918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276099",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.