ROBERT ANDREW MITCHUM (NPI# 1578655072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578655072 |
Entity Type | Individual |
Full Name | ROBERT ANDREW MITCHUM |
Credential | PHD |
Practice Address |
445 Dolley Madison Rd Ste 410 Greensboro NC 27410-5167 |
Practice Telephone | 3362921510 |
Practice Fax Number | 3362920679 |
Mailing Telephone | 3362921510 |
Mailing Fax Number | 3362920679 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2020-07-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
2473 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBS | 04365 | 01 |
Street Address |
445 DOLLEY MADISON RD STE 410 |
City | GREENSBORO |
State | NC |
Zip Code | 27410-5167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184685927 | Teresa T. Hurst | Physician Assistant | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-03-31 |
1255669529 | Regina Nattalie Mozingo | Nurse Practitioner | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2009-11-25 |
1336219021 | Carson Mcknight Sarvis | Counselor | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-11-09 |
1275612475 | Fredrick Anthony May | Counselor | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-11-06 |
1881786267 | Carey Gordon Cottle Jr. | Psychiatry & Neurology | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-09-29 |
1114937224 | Jessica Pitts Carter | Nurse Practitioner | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-08-09 |
1871525956 | Holly Decann Ingram | Counselor | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-07-07 |
1164458113 | Christopher Andrews | Counselor | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-06-23 |
1124069711 | Deborah A. Dowd | Social Worker | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-06-08 |
1336196898 | Glenn E Jennings | Psychiatry & Neurology | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-05-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
Find all providers in zip 27410 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770181059 | Blake Daniel Herd | Psychologist | 1501 Highwoods Blvd Ste 101, Greensboro, NC 27410-2051 | 2020-10-09 |
1952943540 | Noah Keita N'youngou Christophe | Psychologist | 1100 W Market St Fl 2, Greensboro, NC 27403-1830 | 2019-10-15 |
1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
1821469123 | Allison Coville Bray | Psychologist | 606 Walter Reed Dr, Suite B, Greensboro, NC 27403-1114 | 2015-10-13 |
1992104350 | Jessica Lorenzo-gaier | Psychologist | 1100 W Market St 3rd Floor, Greensboro, NC 27402 | 2014-08-21 |
1013341346 | Garrick Keilan Rickard | Psychologist | 1407 Northfield St, Greensboro, NC 27403-1219 | 2013-08-22 |
1124378344 | Eliza R Schenck | Psychologist | 2000 Pisgah Church Rd Ste 100, Greensboro, NC 27455-3311 | 2012-09-14 |
1922381912 | Kelly Graves | Psychologist | 2110 Golden Gate Dr, Suite B, Greensboro, NC 27405-5600 | 2011-09-26 |
1689966855 | Kristen Anne King | Psychologist | 1100 W Market St Fl 3, Greensboro, NC 27403-1830 | 2011-05-06 |
1396065587 | Eileen Marie Leuthe | Psychologist | 5509b W Friendly Ave Ste 106, Greensboro, NC 27410-4249 | 2010-06-10 |
Find all providers in GREENSBORO |
City | GREENSBORO |
Zip Code | 27410 |
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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.