MELVIN DOUGLAS MITCHELL JR. (NPI# 1669916615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669916615 |
Entity Type | Individual |
Full Name | MELVIN DOUGLAS MITCHELL JR. |
Credential | PMHNP |
Practice Address |
12984 Hesperia Rd Victorville CA 92395-5819 |
Mailing Address |
12984 Hesperia Rd. Suitte 101 Victorville CA 92395 |
Practice Telephone | 7602454116 |
Mailing Telephone | (760) 245-4116 |
Enumeration Date | 2016-12-10 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9355575 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3001 S Ocean Dr, #1421, Hollywood, FL 330192830 | 4048209321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730101031 | Melvin G. Mitchell | Dentist | 704 S Broadway, Suite 1, Portland, TN 37148-1674 | 2006-07-24 |
1336594332 | Melvin Mitchell | Massage Therapist | 4953 Schaefer Rd, Dearborn, MI 48126-3260 | 2016-04-27 |
1982089124 | Melvin Mitchell IIi | Counselor | 3000 N Atlantic Ave Ste 102, Cocoa Beach, FL 32931-5045 | 2015-07-29 |
Street Address |
12984 HESPERIA RD |
City | VICTORVILLE |
State | CA |
Zip Code | 92395-5819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861648560 | Lesanemariam Tenkir Banko | Internal Medicine | 12984 Hesperia Rd, Ste 100, Victorville, CA 92395-5819 | 2008-08-13 |
1831750892 | Roy Jerome Sescon | Nurse Practitioner | 12984 Hesperia Rd, Victorville, CA 92395-5819 | 2019-06-21 |
1427563535 | Kumbirai Madiye | Nurse Practitioner | 12984 Hesperia Rd, Victorville, CA 92395 | 2017-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
Find all providers in zip 92395 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831750892 | Roy Jerome Sescon | Nurse Practitioner | 12984 Hesperia Rd, Victorville, CA 92395-5819 | 2019-06-21 |
1174003040 | Amir Hasnain | Nurse Practitioner | 12188 Hesperia Rd, Victorville, CA 92395-5822 | 2018-08-20 |
1427563535 | Kumbirai Madiye | Nurse Practitioner | 12984 Hesperia Rd, Victorville, CA 92395 | 2017-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
City | VICTORVILLE |
Zip Code | 92395 |
Please comment or provide details below to improve the information on MELVIN DOUGLAS MITCHELL JR..
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.