MITALI SATHI MITRA (NPI# 1215018460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215018460 |
| Entity Type | Individual |
| Full Name | MITALI SATHI MITRA |
| Other Name | MITALI DATTA |
| Credential | MD |
| Practice Address |
620 N Craycroft Rd Tucson AZ 85711-1448 |
| Mailing Address |
1161 N El Dorado Pl Tucson AZ 85715-4607 |
| Practice Telephone | 5205297110 |
| Mailing Telephone | 5205701460 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35600 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598049702 | Mitali Mitra | Pediatrics | 1629 W 17th St, Suite B, Santa Ana, CA 92706-3335 | 2011-10-06 |
| Street Address |
620 N CRAYCROFT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023093457 | Angel Viano | Counselor | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2005-12-08 |
| 1467091512 | Joleen A Rodriguez | Nurse Practitioner | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2020-01-06 |
| 1407337728 | Anne Marie Keyl | Social Worker | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2018-08-24 |
| 1770081390 | Terri Mccormick | Nurse Practitioner | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2018-01-29 |
| 1548704125 | Michael Douglas Worley | Nurse Practitioner | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2016-12-15 |
| 1861854077 | Heather Moore | Counselor | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2016-03-26 |
| 1003288945 | Diana Verdugo | Nurse Practitioner | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2015-10-29 |
| 1871901033 | Cope Community Services, Inc. | Psychiatry & Neurology | 620 N Craycroft Rd, Tucson, AZ 85711 | 2014-07-31 |
| 1841578986 | Sarah Woodfin Thomas | Family Medicine | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2011-07-22 |
| 1669698502 | Philip P. Randall | Marriage & Family Therapist | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2007-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619164829 | Alfredo C. Ramirez, Md Pllc | Psychiatry & Neurology | 8684 E Semple Street, Tucson, AZ 85747 | 2007-10-02 |
| 1831257229 | Gary Gerhard Hellmann | Psychiatry & Neurology | 6890 E Sunrise Dr Pmb 202, #120, Tucson, AZ 85750-0738 | 2006-12-05 |
| 1902911373 | Damian R Parkinson | Psychiatry & Neurology | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2006-08-19 |
| 1639283070 | Everett Joaquin Rogers | Psychiatry & Neurology | 350 N. Wilmot Road, St Josephs Hospital O'rielly Care Center, Tucson, AZ 85711 | 2006-08-19 |
| 1649289190 | Carrie K Freedheim | Psychiatry & Neurology | 6375e Tanque Verde Rd 140, Tucson, AZ 85715-3863 | 2006-08-05 |
| 1023045879 | John L Schorsch | Psychiatry & Neurology | 6862 E Tawa St, Tucson, AZ 85715-3345 | 2006-06-27 |
| 1841281060 | John Sylvain Leipsic Jr. | Psychiatry & Neurology | 2695 N Craycroft Rd, Tucson, AZ 85712-2243 | 2005-11-04 |
| 1467456707 | Veeraiah C Karumanchi | Psychiatry & Neurology | 502 W. 29th Street, Tucson, AZ 85713 | 2005-06-01 |
| 1992945455 | Damian Parkinson Md | Psychiatry & Neurology | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2009-02-24 |
| 1831373901 | Noshene Elaine Ranjbar | Psychiatry & Neurology | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2007-12-24 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.