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MITALI SATHI MITRA MD
NPI 1215018460
Psychiatry & Neurology - Child & Adolescent Psychiatry in Yuma, AZ

Active since October 17, 2006
3818 W 16TH ST BLDG 5, YUMA, AZ 85364(928) 317-0177 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2022, Jul 17, 2020, Feb 1, 2017 (3 updates tracked since 2017).

About Mitali Sathi Mitra Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITALI SATHI MITRA MD (NPI 1215018460) is an individual child & adolescent psychiatry provider in Yuma, Arizona, licensed in Arizona (35600) and active in the NPI registry since October 2006. She maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1215018460
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameMITALI SATHI MITRACredential: MD
Location Address3818 W 16TH ST BLDG 5Yuma, AZ 85364-4107
Mailing Address1161 N El Dorado PlTucson, AZ 85715-4607 · (520) 570-1460
Phone(928) 317-0177
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateApril 5, 20223 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1215018460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in AZ · 35600
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3818 W 16TH ST BLDG 5, Yuma, AZ 85364
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Other Names 1

Former Name (1)Mitali Datta Md

Secondary Practice Location 1

Location 13295 W Ina Rd Ste 150200Tucson, AZ 85741-2191 · Phone (928) 317-0177

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET S HIATT LCSW
Social Worker (Clinical)
3818 W 16TH ST BLDG 5
YUMA, AZ 85364
Yuma County (520) 570-1460
PATHWAYS OF ARIZONA, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3818 W 16TH ST BLDG 5
YUMA, AZ 85364
Yuma County (928) 317-0177
MRS. KYNA AMBROSE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3818 W 16TH ST BLDG 5
YUMA, AZ 85364
Yuma County (928) 317-0177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitali Mitra's NPI number?

The NPI number for Mitali Mitra is 1215018460. It was assigned to this individual provider in the NPPES registry on October 17, 2006. The provider is also known as Mitali Datta MD.

Where is Mitali Mitra located?

Mitali Mitra practices at 3818 W 16th St Bldg 5, Yuma, AZ 85364. The listed phone number is (928) 317-0177.

What is Mitali Mitra's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Mitali Mitra was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.