DR. JEFFREY RAYMOND MITCHELL (NPI# 1568442135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568442135 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY RAYMOND MITCHELL |
| Credential | MD |
| Practice Address |
8312 Kaseman Ct Ne Presbyterian, Outpatient Child Bh Clinic Albuquerque NM 87110-7639 |
| Mailing Address |
8312 Kaseman Ct Ne Child and Adolescent Behavioral Health Clinic Albuquerque NM 87110-7639 |
| Practice Telephone | 5052915300 |
| Practice Fax Number | 5055596130 |
| Mailing Telephone | 5052915300 |
| Mailing Fax Number | 5055596130 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2012-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
20708 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA BEHAVIORAL HEALTH | 7411192 | 01 | |
| CIGNA BEHAVIORAL HEALTH | 2017759 | 01 | |
| OK | 100029450A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639266042 | Jeffrey R Mitchell | Surgery | 363 Fremont Street, Suite 203, Battle Creek, MI 49017-3398 | 2006-10-06 |
| 1427149277 | Jeffrey Russell Mitchell | Chiropractor | 1918 Broadwater Ave, Billings, MT 59102-4867 | 2006-09-27 |
| 1750495206 | Jeffrey A Mitchell | Optometrist | 1108 W Cherokee St, Wagoner, OK 74467-4622 | 2006-08-19 |
| 1306873328 | Jeffrey Alan Mitchell | Chiropractor | 4205 Glass Rd Ne, Cedar Rapids, IA 52402-2514 | 2006-06-26 |
| 1689143836 | Jeffrey Lane Mitchell | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-11-16 |
| 1306330642 | Jeffrey Steven Mitchell | Nurse Practitioner | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2018-06-20 |
| 1316443054 | Jeffrey Mitchell | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2018-04-02 |
| 1114307188 | Jeffrey L Mitchell | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2015-06-04 |
| 1306270319 | Jeffrey David Mitchell | Occupational Therapist | 621 W Micheltorena St, Santa Barbara, CA 93101-4195 | 2013-08-26 |
| 1912219296 | Jeffrey L Mitchell II | Podiatrist | 1413 Hatcher Ln, Columbia, TN 38401-3535 | 2010-07-02 |
| Street Address |
8312 KASEMAN CT NE PRESBYTERIAN, OUTPATIENT CHILD BH CLINIC |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-7639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265828214 | Ryan Alexander Mals | Psychiatry & Neurology | 8312 Kaseman Ct Ne, Albuquerque, NM 87110-7639 | 2015-04-07 |
| 1700193075 | Natalya Gail Nelson | Counselor | 8312 Kaseman Ct Ne, Albuquerque, NM 87110-7639 | 2010-09-08 |
| 1023251055 | Kara Dawn Martinez | Psychiatry & Neurology | 8312 Kaseman Ct Ne, Albuquerque, NM 87110-7639 | 2009-04-06 |
| 1629196712 | Elizabeth Hope Latu | Psychologist | 8312 Kaseman Ct Ne, Albuquerque, NM 87110-7639 | 2007-03-27 |
| 1275627648 | Donald P Flammer | Psychologist | 8312 Kaseman Ct Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87110-7639 | 2006-10-03 |
| 1265526651 | Walter Rosett | Internal Medicine | 8312 Kaseman Ct Ne, Pmg Kaseman Adult Healthcare, Albuquerque, NM 87110-7639 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| 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 |
|---|---|---|---|---|
| 1891318747 | B2 Healthcare Group LLC | Psychiatry & Neurology | 8206 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-1738 | 2020-05-27 |
| 1649663535 | Gabriela Sanchez | Psychiatry & Neurology | Presbyterian Kaseman Hospital, 8300 Constitution Avenue Ne, Albuquerque, NM 87110 | 2015-03-17 |
| 1033401831 | Gabriel Carlos-william Monthan | Psychiatry & Neurology | 241 Laguayra Dr Ne, Albuquerque, NM 87108-1723 | 2011-05-11 |
| 1851582886 | Michael Herman Anikeev | Psychiatry & Neurology | 3901 Indian School Rd Ne Apt D102, Albuquerque, NM 87110-3852 | 2007-08-06 |
| 1669529210 | Susan Danto | Psychiatry & Neurology | 7801 Academy Ne, Bldg. 1, Suite 202, Albuquerque, NM 87109 | 2007-01-05 |
| 1033271390 | Rosemary Hunter | Psychiatry & Neurology | 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 | 2006-12-14 |
| 1013005925 | George Edwin Davis | Psychiatry & Neurology | 1002 Idlewilde Ln Se, Albuquerque, NM 87108-3446 | 2006-10-10 |
| 1740381268 | Daniel Kerlinsky | Psychiatry & Neurology | 7007 Wyoming Ne Suite E-3, Albuquerque, NM 87109 | 2006-09-26 |
| 1902287428 | Karla Miranda | Psychiatry & Neurology | Msc, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-06-10 |
| 1174848006 | Kimothi Cain | Psychiatry & Neurology | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2010-04-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on DR. JEFFREY RAYMOND 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.