Mackenzie Augusta Mitchell, MD, MA

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1176 Fifth Avenue
Box 1170 9TH Floor Room 19
New York City, NY 10029

Phone

(212) 241-8528

NPI assigned

Mar 25, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Medicine

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1982406500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 FIFTH AVENUE",
            "address_2": "BOX 1170 9TH FLOOR ROOM 19",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 FIFTH AVENUE",
            "address_2": "BOX 1170 9TH FLOOR ROOM 19",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-8528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79-01 Broadway",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "11373",
            "country_code": "US",
            "telephone_number": "171-833-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MACKENZIE",
        "middle_name": "AUGUSTA",
        "credential": "MD, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonela Miccoli, M.D
• Barbara Milano, LCSW
• Carol Ann Minnerop
• Lajja Nipul Mistry, M.D
• Barbara Louise Mitchell, LCSW
• Sonja Viviana Adele Mittag, MD
• Aura-Maria Morales, PH.D
• Stephanya Moreno Ortega, M.D
• Barbara H Morrison, MA MIP LMFT
• Sherif Ashraf Mostafa, M.D.

• Student in an Organized Health Care Education/Training Program in New York City, NY
• Providers in New York City, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.