Richard S Mitchell, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Dennis Port, Massachusetts. He graduated from medical school in 1976 and has 48 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
15 Shirley Avenue, Dennis Port, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 394-8677.
Richard S Mitchell is licensed to practice in Massachusetts (license number 00396) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477551547.
Healthcare Provider's Profile
| Full Name | Richard S Mitchell |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 48 Years |
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| Location | 15 Shirley Avenue, Dennis Port, Massachusetts |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Richard S Mitchell graduated from medical school in 1976
NPI Data:
- NPI Number: 1477551547
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244356079
- Enrollment ID: I20100929000445
Medical Identifiers
Medical identifiers for Richard S Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477551547 | NPI | - | NPPES |
| 0504793 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 396 (Massachusetts) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 00396 (Massachusetts) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 00396 (Massachusetts) | Secondary |
| 103TF0000X | Psychologist - Family | 396 (Massachusetts) | Secondary |
| 103TH0100X | Psychologist - Health Service | 396 (Massachusetts) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 396 (Massachusetts) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | 00396 (Massachusetts) | Secondary |
| 103T00000X | Psychologist | 00396 (Massachusetts) | Secondary |
| 103TC0700X | Psychologist - Clinical | 00396 (Massachusetts) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 00396 (Massachusetts) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard S Mitchell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Richard S Mitchell, PHD
15 Shirley Ave,
Dennis Port, MA 02639-2443
Ph: (508) 394-8677 | Richard S Mitchell, PHD
15 Shirley Avenue,
Dennis Port, MA 02639-5590
Ph: (508) 394-8677 |
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