MR. BRADFORD MITCHELL (NPI# 1154840783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154840783 |
| Entity Type | Individual |
| Full Name | MR. BRADFORD MITCHELL |
| Practice Address |
6330 Thornton Ave Newark CA 94560 |
| Mailing Address |
Po Box 643 Newark CA 94560-0643 |
| Practice Telephone | (510) 792-4357 |
| Practice Fax Number | 5107451693 |
| Mailing Telephone | 5107924357 |
| Mailing Fax Number | 5107451693 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679667091 | Bradford Kent Mitchell | Surgery | 4660 S. Hagadorn Road, Suite 600, East Lansing, MI 48823 | 2006-10-02 |
| 1447542881 | Bradford Lyle Mitchell | Family Medicine | 2415 Mccallie Avenue, Chattanooga, TN 37404 | 2011-05-04 |
| 1285810515 | Bradford Charles Mitchell | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2008-01-16 |
| Street Address |
6330 THORNTON AVE |
| City | NEWARK |
| State | CA |
| Zip Code | 94560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649481953 | Martin Montemayor | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2007-05-25 |
| 1205473659 | Selena Wright | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2019-12-04 |
| 1013567171 | Jeanette Makahilahila Ahkoi | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2019-09-19 |
| 1063066025 | Terri Michelle Lewis | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2019-07-29 |
| 1053973206 | Michael Lee Chidester Jr. | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2019-07-08 |
| 1801394754 | Denise Soto | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2018-01-25 |
| 1174063150 | Michael Daniloff | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2017-02-24 |
| 1629511936 | Janel Cordova | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2016-11-18 |
| 1407302979 | Kenynattah Hill | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2016-08-25 |
| 1710336649 | Jenell Baxter | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
| 1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
| 1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
| 1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
| Find all providers in zip 94560 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083224133 | Utopia Lavon Session | Counselor | 54 Cheswold Blvd Apt 310, Newark, DE 19713-4160 | 2020-08-04 |
| 1437634474 | Victoria Lynn Garibaldi | Counselor | 37219 Walnut St, Newark, CA 94560-3418 | 2018-09-26 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1134631310 | Mary Desantis | Counselor | 3981 Buffalo Rd, Newark, NY 14513-9230 | 2017-10-28 |
| 1164884631 | Khayyam Bey | Counselor | 82 Somerset St, Newark, NJ 07108-2954 | 2016-03-24 |
| 1679939656 | Temitope Shakirat Coates | Counselor | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2016-01-06 |
| 1144603432 | Kerwin Brisbane | Counselor | 146 Ferry St Ste B, Newark, NJ 07105-2133 | 2015-07-04 |
| 1477942381 | Rosalind Stewart | Counselor | 1423 Capitol Trail, Polly Drummond Plaza, Building 3, Newark, DE 19711-5703 | 2015-01-15 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on MR. BRADFORD 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.