DR. PATRICK VINCENT MITCHELL (NPI# 1326473042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326473042 |
| Entity Type | Individual |
| Full Name | DR. PATRICK VINCENT MITCHELL |
| Credential | PSY.D. |
| Practice Address |
55 Hatchetts Hill Rd Old Lyme CT 06371-1534 |
| Mailing Address |
2401 Olive St Philadelphia PA 19130-2523 |
| Practice Telephone | 8003703651 |
| Mailing Telephone | 6107645920 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS017681 | PA | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 N Academy Ave, Geisinger Medical Center Division of Psychiatry, Danville, PA 178221335 | 5702716516 | |
| 2401 Olive St, Philadelphia, PA 191302523 | 6107645920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256462 | Patrick Mitchell | Community Health Worker | 6661 Silverstream Ave, Las Vegas, NV 89107-1165 | 2015-01-30 |
| 1285078329 | Patrick Mitchell | Counselor | 11236 Highway 16, Amite, LA 70422-4146 | 2013-04-19 |
| 1528153301 | Patrick W Mitchell | Family Medicine | 2500 Pocoshock Pl Ste 104, Richmond, VA 23235-6345 | 2006-10-04 |
| 1366418873 | Patrick Mitchell | Social Worker | 41 Main Street, Big Flats, NY 14814 | 2006-02-24 |
| 1790255388 | Patrick Mitchell | Counselor | 150 Cora Dr, Baton Rouge, LA 70815 | 2018-11-27 |
| 1417432816 | Patrick Jay Mitchell | Occupational Therapist | 1199 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2018-10-01 |
| 1104302603 | Patrick Ross Mitchell | Pharmacist | 5435 Woodruff Farm Rd, Columbus, GA 31907-1395 | 2018-07-17 |
| 1093134306 | Patrick Oliver Mitchell | Hospitalist | 6 Glen Cove Dr, Rockport, ME 04856-4273 | 2014-04-15 |
| 1801142856 | Patrick James Mitchell | Physical Therapist | 8235 Clayton Rd, Saint Louis, MO 63117-1107 | 2012-07-27 |
| 1265736458 | Patrick Gerard Mitchell | Psychologist | 7988 Old Georgetown Rd, Old Georgetown Office Park, 8a, Bethesda, MD 20814-2481 | 2011-01-02 |
| Street Address |
55 HATCHETTS HILL RD |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053360677 | Medop Behavioral Health Associates PC | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2006-05-09 |
| 1053957258 | Leland Reback | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2019-11-22 |
| 1043861438 | Sherifat Forcey | Registered Nurse | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2019-09-26 |
| 1336790823 | Gloria Avolio | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2019-09-25 |
| 1750939575 | Norrel Sainsott | Social Worker | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2019-08-27 |
| 1265911473 | Gabriell Budoff | Nurse Practitioner | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2018-08-08 |
| 1205344017 | Elaine Caporale | Nurse Practitioner | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2018-01-15 |
| 1790295335 | Kristin Hambidge | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2017-10-10 |
| 1336676907 | Jonas Robert Steiner | Social Worker | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2017-05-15 |
| 1780125328 | Elizabeth Green | Social Worker | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2017-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761877 | Sabine Odonnell LLC | Marriage & Family Therapist | 80 Halls Rd, Old Lyme, CT 06371 | 2019-10-15 |
| 1619487162 | Emily Chung | Pharmacist | 42 Browns Ln, Old Lyme, CT 06371 | 2017-10-10 |
| 1659822088 | Mona Saleh Hassan | Nurse Practitioner | Medoptions, 55 Hatchetts Hill Road, Old Lyme, Ct, CT 06371 | 2016-10-20 |
| 1740653278 | New England Pa LLC | Physician Assistant | 5 Davis Road East, Old Lyme, CT 06371 | 2015-11-05 |
| 1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
| 1285956987 | Karl R. Friedmann | Family Medicine | 40 Coult Lane, Old Lyme, CT 06371 | 2010-02-22 |
| 1285844977 | Cary L. Walker | Social Worker | 6 Town Street, Lyme, CT 06371 | 2007-05-23 |
| 1578784765 | Lynne Zimmerman | Psychologist | 16 Library Ln, Old Lyme, CT 06371 | 2007-05-02 |
| 1588784375 | Jan Fitzgerald Briscoe | Marriage & Family Therapist | 81 Halls Rd Unit C, Old Lyme, CT 06371 | 2007-03-29 |
| 1588702583 | Karl M Goldkamp | Naturopath | 81 Halls Road, Old Lyme, CT 06371 | 2007-02-02 |
| Find all providers in zip 06371 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578784765 | Lynne Zimmerman | Psychologist | 16 Library Ln, Old Lyme, CT 06371 | 2007-05-02 |
| 1053360677 | Medop Behavioral Health Associates PC | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2006-05-09 |
| 1841295490 | David F Zita | Psychologist | 164 Four Mile River Rd, Old Lyme, CT 06371-1325 | 2005-06-19 |
| 1790295335 | Kristin Hambidge | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2017-10-10 |
| 1275991028 | Robert Dean | Psychologist | 19 Halls Rd, #234, Old Lyme, CT 06371-1457 | 2016-02-08 |
| 1225216880 | Nicola Giordano | Psychologist | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
| 1225649080 | Joyce Nathan | Psychologist | 175 Riversville Rd, Greenwich, CT 06831-3629 | 2020-08-13 |
| 1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
| 1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
| 1730726324 | Samantha R Morris | Psychologist | 377 Mansfield Road, Unit 1255, Storrs, CT 06269-1255 | 2019-12-03 |
| 1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
| 1225686249 | Morris Brett Denkin | Psychologist | 51 Locust Ave Ste 302a, New Canaan, CT 06840-4739 | 2019-09-03 |
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PATRICK VINCENT MITCHELL.
| 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.