DR. MITCHELL L GELBER (NPI# 1700060316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700060316 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL L GELBER |
| Credential | ED.D. |
| Practice Address |
804 Ainsworth Dr Suite #105 Prescott AZ 86301-1624 |
| Practice Telephone | 9287770919 |
| Mailing Telephone | 9287770919 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1621 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 104513 | 05 |
| Street Address |
804 AINSWORTH DR SUITE #105 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829589 | Stacy E Masten | Social Worker | 804 Ainsworth Dr, Ste 105, Prescott, AZ 86301-1624 | 2005-05-31 |
| 1780937797 | Elaine Ann Martin-stomel | Nurse Practitioner | 804 Ainsworth Dr, Suite 102, Prescott, AZ 86301-1624 | 2012-10-16 |
| 1801125802 | Alan S. Walters, M.d., Pllc | Surgery | 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624 | 2009-12-22 |
| 1457680456 | Thomas H. Hirasa, M.d., Pllc | Surgery | 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624 | 2009-12-22 |
| 1982711057 | Alan S Walters | Surgery | 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624 | 2006-08-24 |
| 1922016682 | Thomas H Hirasa | Surgery | 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624 | 2006-08-04 |
| 1073545240 | Fred S Markham Md PC | Internal Medicine | 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301-1624 | 2006-07-07 |
| 1902858533 | Prescott Cardiology, PC | Internal Medicine | 804 Ainsworth Dr, Suite 102, Prescott, AZ 86301-1624 | 2006-05-16 |
| 1679538995 | Fred S. Markham | Internal Medicine | 804 Ainsworth Dr, # 104, Prescott, AZ 86301-1624 | 2006-04-19 |
| 1366403248 | Jane Ellen Bridges | Nurse Practitioner | 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301-1624 | 2006-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902084775 | Daniel B Wasserman Phd PC | Psychologist | 339 S Cortez St, Prescott, AZ 86303-4315 | 2008-02-04 |
| 1023237310 | Daniel Barack Wasserman | Psychologist | 126 N Marina St, Suite 114, Prescott, AZ 86301-3208 | 2007-04-24 |
| 1144383357 | Suzanne G Keown | Psychologist | 143 E Merritt Ave, Prescott, AZ 86301-2028 | 2006-12-18 |
| 1336153774 | Alexandra Dabovich Furlong | Psychologist | 232 Creekside Cir, Unit B, Prescott, AZ 86303-5535 | 2006-07-29 |
| 1487619342 | Mitchell L Gelber Edd PC | Psychologist | 804 Ainsworth Drive, #105, Prescott, AZ 86301 | 2006-04-20 |
| 1063035541 | Michelle O'cleireachain | Psychologist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-05-19 |
| 1518517374 | Richard Philip Haddock | Psychologist | Northern Arizona Va Health Care System, 500 Hwy 89n, Prescott, AZ 86313 | 2019-09-13 |
| 1912554122 | Jennifer Ann Sigler | Psychologist | 500 Az-89, Prescott, AZ 86301 | 2019-08-22 |
| 1699149427 | Barbara Alice Tye-townsel | Psychologist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2015-11-17 |
| 1578809042 | Brita Martiny-yssel | Psychologist | 119 E Goodwin St, Prescott, AZ 86303-3940 | 2013-01-02 |
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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.