JESSICA DIANE MITCHELL PH.D.
NPI 1447508791
Psychologist - Clinical Child & Adolescent in Canandaigua, NY

Q: What is Jessica Mitchell's NPI number?

The NPI number for Jessica Mitchell is 1447508791. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Q: What is Jessica Mitchell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Mitchell was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 16, 2012PECOS Enrolled

3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424(585) 396-4363 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Diane Mitchell Ph.d. NPPES

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

JESSICA DIANE MITCHELL PH.D. (NPI 1447508791) is an individual clinical child & adolescent provider in Canandaigua, New York and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447508791

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameJESSICA DIANE MITCHELLCredential: PH.D.

Location Address3019 COUNTY COMPLEX DRCanandaigua, NY 14424-9505

Mailing Address2083 County Road 25Phelps, NY 14532-9609 · (401) 243-7154

Phone(585) 396-4363

Sole ProprietorYes

Enumeration DateAugust 16, 2012

Last NPPES UpdateJune 5, 2019

✔ NPI 1447508791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

3019 COUNTY COMPLEX DR, Canandaigua, NY 14424

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Diane Mitchell Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 20

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

ONTARIO COUNTY

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