WILLIAM EDGEFIELD MITCHELL III (NPI# 1740393735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740393735 |
| Entity Type | Individual |
| Full Name | WILLIAM EDGEFIELD MITCHELL III |
| Credential | PSY.D. |
| Practice Address |
1595 Elmwood Ave Ste 2 Rochester NY 14620-3602 |
| Practice Telephone | 5854655072 |
| Practice Fax Number | 5854865077 |
| Mailing Telephone | (585) 465-5072 |
| Mailing Fax Number | 5854865077 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 0111107 | NY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 011107 | NY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
011107 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 06800011107 | 05 | |
| NY | PREFERRED CARE | 103283EU | 01 |
| NY | VALUE OPTIONS | 3109089 | 01 |
| NY | EXCELLUS | EM | 01 |
| NY | EXCELLUS | 014003729 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1073098497 | William Lee Mitchell | Naturopath | 2200 W San Angelo St Apt 3030, Gilbert, AZ 85233-2213 | 2018-10-02 |
| 1083986384 | William J Mitchell | Internal Medicine | 1304 Los Arboles Ave Nw, Albuquerque, NM 87107-1014 | 2012-02-01 |
| 1376836254 | William Ryan Mitchell | Orthopaedic Surgery | 10810 Parkside Dr Ste 209, Knoxville, TN 37934-1985 | 2011-05-25 |
| 1588709794 | William F. Mitchell Jr. | Pharmacist | 800 Ste. Genevieve Drive, Ste. Genevieve, MO 63670 | 2007-02-21 |
| 1679614887 | William P Mitchell Jr. | Dentist | 400 G St Ne, Suite 1, Washington, DC 20002 | 2007-02-09 |
| 1205975422 | William Edgefield Mitchell Jr. | Surgery | 9a Rocky Slope Dr, Santa Fe, NM 87508-1345 | 2007-02-05 |
| 1700944634 | William Henry Mitchell Jr. | Podiatrist | 3907 Palm, Houston, TX 77004-6532 | 2006-12-04 |
| 1811949308 | William R Mitchell | Internal Medicine | 10030 Gilead Rd., Suite 344, Huntersville, NC 28078-7545 | 2006-05-16 |
| 1376512533 | William B Mitchell | Pediatrics | 3411 Wayne Ave Fl 9, Bronx, NY 10467 | 2006-03-17 |
| Street Address |
1595 ELMWOOD AVE STE 2 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194387456 | Allison Canfield | Psychologist | Developmental & Behavioral Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-07-07 |
| 1861737041 | Decisionpoint Behavioral Health, Inc. | Psychologist | 206 S Broadway, Suite 411a, Rochester, MN 55904-6502 | 2012-11-29 |
| 1598984338 | Stephen Morse Pulos | Psychologist | 488 French Rd, Rochester, NY 14618-5373 | 2007-04-24 |
| 1073054136 | Candace Sorensen | Psychologist | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2017-03-09 |
| 1588116230 | Kayla Hunt | Psychologist | 200 E River Rd, Rochester, NY 14623-1212 | 2016-10-28 |
| 1790137206 | Melissa Castle | Psychologist | 315 Science Pkwy, Rochester, NY 14620-4257 | 2016-07-08 |
| 1790150282 | Janet Coster | Psychologist | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2015-12-09 |
| 1497129100 | Christina M Mule | Psychologist | 200 E River Rd, Rochester, NY 14623-1212 | 2015-11-18 |
| 1518374347 | Melissa Hord | Psychologist | 1027 7th St Nw, Rochester, MN 55901-2666 | 2014-07-14 |
| 1447516679 | Sarah Van Cleve Spencer | Psychologist | 315 Science Pkwy, Suite 100, Rochester, NY 14620-4257 | 2012-04-02 |
| Find all providers in ROCHESTER | ||||
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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.