MITCHELL'S PLACE, INC. (NPI# 1235263419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235263419 |
| Entity Type | Organization |
| Organization Name | MITCHELL'S PLACE, INC. |
| Practice Address |
4778 Overton Road Birmingham AL 35210 |
| Practice Telephone | 2059570294 |
| Practice Fax Number | 2059570298 |
| Mailing Telephone | 2059570294 |
| Mailing Fax Number | 2059570298 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MATTHEW LEE REMICK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2059570294 |
| Authorized Official Credential | PSY. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
4778 OVERTON ROAD |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205920725 | Stacey Shipman | Speech-Language Pathologist | 4778 Overton Road, Birmingham, AL 35210 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1689147068 | Greater Birmingham Transportation Services | Taxi | 5804 Oporto Madrid Blvd S, Birmingham, AL 35210 | 2019-01-08 |
| 1053802009 | Konda Keebler | Nurse Practitioner | 7001 Crestwood Blvd/suite 804, Birmingham, AL 35210 | 2018-05-25 |
| 1841675865 | Kolbe Clinic LLC | Counselor | 1830 Montclair Rd Ste A, Irondale, AL 35210 | 2015-07-21 |
| 1609270826 | Patricia Abrahan Ocampo | Occupational Therapist | 5000 Grantswood Rd Ste 220, Irondale, AL 35210 | 2014-10-17 |
| 1154766905 | John Charles Hammond | Psychiatry & Neurology | 4984 Overton Rd, Birmingham, AL 35210 | 2013-05-07 |
| 1073807871 | Farah Yasmeen Ghori-javed | Internal Medicine | 4500 Montevallo Rd Ste B101, Irondale, AL 35210 | 2011-06-09 |
| 1134459084 | Hospice Advantage, LLC. | Hospice Care, Community Based | 2435 1st Avenue South, Irondale, AL 35210 | 2009-12-28 |
| 1902063555 | Robert Lumpkin | Dentist | 7970 Crestwood Blvd, Irondale, AL 35210 | 2008-05-21 |
| 1659347581 | Natashia Rebecca Conley | Internal Medicine | 1848 Crestwood Blvd, American Family Care Inc, Birmingham, AL 35210 | 2006-02-28 |
| Find all providers in zip 35210 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
| 1437789468 | Kathleen Margaret Whipple | Psychologist | 895 Puritan Ave, Birmingham, MI 48009-4636 | 2020-01-17 |
| 1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
| 1700389418 | Michele Valerie Varady | Psychologist | 700 N Old Woodward Ave Ste 300, Birmingham, MI 48009-1338 | 2018-03-09 |
| 1932578838 | Craig Counseling Services, P.l.l.c. | Psychologist | 630 N. Old Woodward Ave., Suite 303, Birmingham, MI 48009-3862 | 2015-09-21 |
| 1104200344 | Insight Therapy, LLC | Psychologist | 166 Office Park Dr., St. 245, Birmingham, AL 35223 | 2015-07-17 |
| 1659706216 | Antonio Psychology Services LLC | Psychologist | 3516 Vann Rd, Suite 104-b, Birmingham, AL 35235-3275 | 2013-09-13 |
| 1437498516 | Laura Lynn Lehmann | Psychologist | 500 Lewis Ct, Birmingham, MI 48009-6817 | 2013-02-08 |
| 1952669780 | Karen R Weiss | Psychologist | 1290 E Lincoln St, Birmingham, MI 48009-7191 | 2012-04-30 |
| 1336420009 | Lena Agree | Psychologist | 240 Martin St # 100, Birmingham, MI 48009-3352 | 2011-09-07 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35210 |
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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.