DR. JERRY DON MITCHELL (NPI# 1750500484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750500484 |
| Entity Type | Individual |
| Full Name | DR. JERRY DON MITCHELL |
| Credential | ED.D., PSYCHOLOGIST |
| Practice Address |
Hwy 118 South High Frontier Fort Davis TX 79734 |
| Mailing Address |
1903 Enfield Rd Alpine TX 79830-2005 |
| Practice Telephone | 4323642241 |
| Mailing Telephone | 4328375857 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
21264 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033305529 | Jerry Dewayne Mitchell | Physical Therapy Assistant | 502 Wendover Ln, Bullard, TX 75757-5175 | 2007-09-19 |
| 1932289204 | Jerry Wayne Mitchell | Dentist | 620 First Ave N, Ketchum, ID 83340-0000 | 2006-10-17 |
| 1497721914 | Jerry Mitchell | Anesthesiology | 2927 De La Vina St, Santa Barbara, CA 93105-3362 | 2006-02-24 |
| 1114447109 | Jerry Mitchell Jr. | Counselor | 19157 Crowley Eunice Hwy, Crowley, LA 70526 | 2017-06-21 |
| 1487930525 | Jerry Ray Mitchell | Internal Medicine | 6550 Mapleridge St Ste 201, Houston, TX 77081-4648 | 2011-11-02 |
| 1679674402 | Jerry E Mitchell | Surgery | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-26 |
| 1861445652 | Jerry W Mitchell | Radiology | 600 S 3rd St, Gadsden, AL 35901-5304 | 2006-05-19 |
| 1750339651 | Jerry Mitchell | Internal Medicine | 3100 Plaza Properties Blvd, Columbus, OH 43219-1530 | 2006-05-04 |
| Street Address |
HWY 118 SOUTH HIGH FRONTIER |
| City | FORT DAVIS |
| State | TX |
| Zip Code | 79734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194113423 | Wayne L Wentworth | Counselor | 1178 High Frontier Rd., Fort Davis, TX 79734 | 2015-01-09 |
| 1679823728 | Fort Davis Independent School District | Local Education Agency (LEA) | 400 Webster, Fort Davis, TX 79734 | 2012-09-17 |
| 1811216690 | The High Frontier Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5 Miles South On Hwy 118, Fort Davis, TX 79734 | 2010-05-19 |
| 1023209582 | County of Jeff Davis | Ambulance | 201 W Court Ave, Fort Davis, TX 79734 | 2007-08-08 |
| 1801012034 | Thomas John Homrighaus | Counselor | 5 Mile So On Hwy 118, Fort Davis, TX 79734 | 2007-04-17 |
| 1184692881 | James Luecke | Emergency Medicine | 1 Memorial Square, Fort Davis, TX 79734 | 2006-03-09 |
| 1952308496 | Pamela Dalzell | Nurse Practitioner | Memorial Sq, Fort Davis, TX 79734 | 2005-06-30 |
| 1578757720 | Fort Davis Family Practice, Pa | Family Medicine | 1 Memorial Square, Box 792, Fort Davis, TX 79734-0008 | 2007-08-30 |
| 1407356652 | Silvanna Lynn Ramos Milan | Social Worker | 1178 High Frontier Road, Fort Davis, TX 79734-1325 | 2018-02-14 |
| 1851692321 | Rebecca Greathouse Wren | Counselor | 107 Deer Ridge Dr, Fort Davis, TX 79734-2507 | 2010-11-15 |
| Find all providers in zip 79734 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1588263339 | Uttam Psychological Services Pllc | Psychologist | 16711 Cedar Yard Ln, Cypress, TX 77433-5250 | 2020-10-22 |
| 1194323097 | Ashleigh Elizabeth Fellows | Psychologist | 11750 Mission Trace St, San Antonio, TX 78230-2120 | 2020-10-13 |
| 1639776412 | Nausheen Noor | Psychologist | 3707 Springhill Ln, Sugar Land, TX 77479-2293 | 2020-10-05 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1770194862 | Nichole Barbara Vincent | Psychologist | 829 Sunnyvale Pl, Uvalde, TX 78801-4078 | 2020-08-12 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
| 1821615733 | The Clinic Neuropsychological & Psychological Services, Pllc | Psychologist | 101 Uhland Rd Ste 205, San Marcos, TX 78666-6681 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT DAVIS |
| Zip Code | 79734 |
Please comment or provide details below to improve the information on DR. JERRY DON 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.