DR. ELLEN L MITCHELL (NPI# 1003866559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003866559 |
| Entity Type | Individual |
| Full Name | DR. ELLEN L MITCHELL |
| Credential | PHD |
| Practice Address |
5932 Pulaski Ave Philadelphia PA 19144-3823 |
| Practice Telephone | 2158497945 |
| Practice Fax Number | 2158495098 |
| Mailing Telephone | 2158497945 |
| Mailing Fax Number | 2158495098 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS005301L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | NATIONAL BILLING NUMBER | MI587330 | 01 |
| PA | BC/BS PERSONAL CHOICE ETC | 0409212000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134745235 | Ellen Mitchell | Physical Therapist | 265 N Willett St, Memphis, TN 38112-5117 | 2020-06-24 |
| 1144683731 | Ellen Catherine Mitchell | Physician Assistant | 48575 Joy Rd, Canton, MI 48187-1214 | 2016-03-31 |
| 1073781464 | Ellen Browne Mitchell | Ophthalmology | 4401 Penn Ave Main Hospital, Upmc Children's Hospital Eye Center 3rd Floor, Pittsburgh, PA 15224 | 2008-02-19 |
| 1497939250 | Ellen P Mitchell | Social Worker | 112 Oak Cove Dr, Columbia, SC 29229-7501 | 2007-12-28 |
| 1831317106 | Ellen Howard Mitchell | Registered Nurse | 2301 Davidsonville Rd, Crofton, MD 21114-1603 | 2007-04-23 |
| 1932273653 | Ellen L Mitchell | Occupational Therapist | 828 Valerie Pl, Valdosta, GA 31605-6426 | 2006-11-17 |
| 1346670528 | Ellen Mitchell | Registered Nurse | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2013-11-25 |
| 1952669186 | Ellen Lide Mitchell | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134 | 2012-04-25 |
| 1821316936 | Ellen Leah Mitchell | Occupational Therapist | 425 Divisadero St, Suite 300, San Francisco, CA 94117-2242 | 2010-05-13 |
| 1639264450 | Ellen K Mitchell | Family Medicine | 2500 Pocoshock Pl Ste 104, Richmond, VA 23235-6345 | 2006-10-04 |
| Street Address |
5932 PULASKI AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568754018 | Mitchell Psychological Services Inc | Psychologist | 5932 Pulaski Ave, Philadelphia, PA 19144-3823 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851092 | Erica Marla Schulte | Psychologist | 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 | 2020-11-02 |
| 1376159780 | Kristi Corcoran | Psychologist | 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 | 2020-09-21 |
| 1033723317 | Casey Joan Zampella | Psychologist | 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 | 2020-09-03 |
| 1265053755 | Shirley Brown | Psychologist | 210 W Rittenhouse Sq Ste 404, Philadelphia, PA 19103-5771 | 2020-05-06 |
| 1518507912 | Tamara Christine Hill | Psychologist | 245 Cherry St Apt 3f, Philadelphia, PA 19106-1991 | 2020-01-14 |
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1265070379 | Jeannine Cicco Barker | Psychologist | 100 S Broad St Ste 915, Philadelphia, PA 19110-1016 | 2019-12-19 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1235790007 | Stephanie Manasse | Psychologist | 3201 Chestnut St, Philadelphia, PA 19104-3370 | 2019-06-24 |
| 1003376690 | Margaux Desjardins | Psychologist | 2200 Saint James Pl, Philadelphia, PA 19103-5502 | 2019-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
Please comment or provide details below to improve the information on DR. ELLEN L 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.