SANDRA MITCHELL (NPI# 1669839940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669839940 |
| Entity Type | Individual |
| Full Name | SANDRA MITCHELL |
| Credential | LMHC |
| Practice Address |
613 Lake Dr Medford NY 11763-4610 |
| Practice Telephone | 6312567098 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
006996 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558759621 | Sandra M Mitchell | Registered Nurse | 81 Lorraine Ter Apt 341, Mount Vernon, NY 10553-1235 | 2014-12-24 |
| 1790950103 | Sandra Kay Mitchell | Technician | 324 Mulberry Ave W, Wynne, AR 72396-2813 | 2008-04-25 |
| 1639292196 | Sandra J Mitchell | Counselor | 161 St. Helens Street, St. Helens, OR 97051-3200 | 2007-04-09 |
| 1962414664 | Sandra Kay Mitchell | Pharmacist | 601 State Route 28 E, Owensville, MO 65066-1450 | 2006-08-12 |
| 1841243276 | Sandra Arlene Mitchell | Speech-Language Pathologist | 11 Cherrywood Ct, Little Rock, AR 72211-4511 | 2006-05-18 |
| 1205802451 | Sandra Rodriguez Mitchell | Registered Nurse | 148 Lake Manor Dr, Kingsland, GA 31548-6274 | 2006-02-27 |
| 1770081705 | Sandra Ann Mitchell | Registered Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2018-01-24 |
| 1235570979 | Sandra M Mitchell | Clinical Neuropsychologist | 1100 E Dimond Blvd, Anchorage, AK 99515-2010 | 2013-07-10 |
| 1801123450 | Sandra Lee Mitchell | Technician/Technologist | 3929 Mccain Blvd, 13 & 14, North Little Rock, AR 72116-8011 | 2009-11-03 |
| 1912100264 | Sandra Mitchell | Licensed Practical Nurse | 1019 E Water St, Elmira, NY 14901-3332 | 2007-06-06 |
| Street Address |
613 LAKE DR |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911091 | Araceli Olivares Mciff | Counselor | 201 W 6th St Ste 101, Medford, OR 97501-2708 | 2020-08-04 |
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1326674417 | Jean Yih Kingston | Counselor | Dcs Mental Health Medford, 151 Mystic Avenue, Medford, MA 02155-4632 | 2020-03-20 |
| 1063059228 | Chiron Center Incorporated | Counselor | 2909 N Phoenix Rd, Medford, OR 97504-9490 | 2019-12-06 |
| 1790321784 | Cassandra F Lawrence | Counselor | 1503 Race Ave, Medford, NY 11763-1859 | 2019-11-25 |
| 1427691955 | Claire Elizabeth Ann Vos | Counselor | 807 Impala Dr, Medford, WI 54451-1206 | 2019-10-28 |
| 1033768718 | Hope Koram | Counselor | 15 Carberry St, Medford, MA 02155-1804 | 2019-09-05 |
| 1649767203 | Kerry Ellis | Counselor | 190 High St Apt 210, Medford, MA 02155-3810 | 2018-04-19 |
| 1942701271 | Winding Tree Counseling Services LLC | Counselor | 916 W 10th St Ste 100, Medford, OR 97501-3018 | 2018-02-22 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on SANDRA 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.