DR. JOSEPH MICHAEL MITROVICH (NPI# 1134474794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134474794 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH MICHAEL MITROVICH |
| Credential | PSY.D. |
| Practice Address |
1715 Lafayette St Steilacoom WA 98388-1327 |
| Practice Telephone | 2535142460 |
| Mailing Telephone | 2535142460 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 60218793 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1715 LAFAYETTE ST |
| City | STEILACOOM |
| State | WA |
| Zip Code | 98388-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306006044 | Dr Thomas J Mcavoy | Dentist | 1710 Lafayette Street, Steilacoom, WA 98388 | 2008-06-16 |
| 1376639187 | Titte Seshadri Krishnaswamy | Internal Medicine | 253 Rigney Road, #d5, Steilacoom, WA 98388 | 2006-10-05 |
| 1326150657 | Jonathan Christian Bahmiller | Ophthalmology | 2115 South 56th Street, Suite 103, Tacoma, WA 98388 | 2006-08-31 |
| 1326068818 | Dr David Lasater Od LLC | Optometrist | 2517 Natalie Lane, Steilacoom, WA 98388 | 2006-07-20 |
| 1346339983 | Noreen Mary Mccarron | Nurse Practitioner | 834 Sheridan St, Jefferson Health Care Hospital, Port Townsend, WA 98388 | 2006-10-12 |
| 1316387160 | Sheryl Lynn Morelli | Mechanotherapist | 311 Champion St, Steilacoom, WA 98388-1107 | 2013-06-25 |
| 1265736672 | Dani Hart | Counselor | 602 Lafayette St, Steilacoom, WA 98388-1212 | 2010-12-28 |
| 1992057806 | Meredith Jean Thibo | Specialist | 1507 Lafayette St, Steilacoom, WA 98388-1323 | 2012-10-03 |
| 1457418394 | Thomas J Mcavoy | Dentist | 1710 Lafayette St, Steilacoom, WA 98388-1328 | 2007-01-02 |
| 1255695755 | Michael Mcdade, D.d.s.,p.l.l.c. | Clinic/Center | 1710 Lafayette St, Steilacoom, WA 98388-1328 | 2012-06-28 |
| Find all providers in zip 98388 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
| 1902411366 | Shanna Drinkwine | Psychologist | 1993 Governor Rd, Bellingham, WA 98229-3413 | 2020-09-12 |
| 1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
| 1487263711 | Tiffany Mohr | Psychologist | 927 College Ln Ne Unit B, Lacey, WA 98516-3740 | 2020-07-22 |
| 1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
| 1447887427 | Kitsap Peninsula Ocd & Anxiety Services Pllc | Psychologist | 9226 Bay Shore Dr Nw Ste 204, Silverdale, WA 98383-9196 | 2020-03-27 |
| 1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
| City | STEILACOOM |
| Zip Code | 98388 |
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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.