MITCHELL WAX
NPI 1417912510
Psychologist in Lakewood, OH

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
13535 DETROIT AVE, STE 5, LAKEWOOD, OH 44107(216) 221-6260 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mitchell Wax NPPES

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

MITCHELL WAX (NPI 1417912510) is an individual psychologist in Lakewood, Ohio, licensed in Ohio (3036) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1417912510
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMITCHELL WAX
Location Address13535 DETROIT AVE, STE 5Lakewood, OH 44107-4625
Mailing Address13535 Detroit Ave, Ste 5Lakewood, OH 44107-4625 · (216) 221-6260
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateApril 20, 2006
Last NPPES UpdateMarch 15, 2017
✔ NPI 1417912510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OH · 3036
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
13535 DETROIT AVE, Lakewood, OH 44107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mitchell Wax is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749448033
PECOS Enrollment IDI20120614000511
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Home Health
13535 DETROIT AVE
LAKEWOOD, OH 44107
Internal Medicine
13535 DETROIT AVE, SUITE-1
LAKEWOOD, OH 44107
Podiatrist (Primary Podiatric Medicine)
13535 DETROIT AVE, SUITE 7
LAKEWOOD, OH 44107

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 Mitchell Wax's NPI number?

The NPI number for Mitchell Wax is 1417912510. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Mitchell Wax located?

Mitchell Wax practices at 13535 Detroit Ave Ste 5, Lakewood, OH 44107. The listed phone number is (216) 221-6260.

What is Mitchell Wax's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mitchell Wax enrolled in Medicare?

Yes. Mitchell Wax is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mitchell Wax accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Mitchell Wax as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Wax was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.