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DR. BETH AVONNE MITCHNER PSYD
NPI 1447761978
Psychologist - Clinical in San Francisco, CA

Active since October 24, 2017Opted out of Medicare · through Nov 4, 2027
1947 DIVISADERO ST STE 1, SAN FRANCISCO, CA 94115(415) 644-5754 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Beth Avonne Mitchner Psyd NPPES

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

DR. BETH AVONNE MITCHNER PSYD (NPI 1447761978) is an individual clinical provider in San Francisco, California, licensed in California (PSY29597) and active in the NPI registry since October 2017. She has opted out of Medicare through November 4, 2027.

NPPES Registry Identity

NPI1447761978
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BETH AVONNE MITCHNERCredential: PSYD
Location Address1947 DIVISADERO ST STE 1San Francisco, CA 94115-2532
Mailing Address1376 6th AveSan Francisco, CA 94122-2504 · (415) 279-7604
Phone(415) 644-5754
Sole ProprietorYes
Enumeration DateOctober 24, 2017
✔ NPI 1447761978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY29597
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1947 DIVISADERO ST STE 1, San Francisco, CA 94115
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Beth Avonne Mitchner Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 4, 2025 through November 4, 2027.

Opt-Out Effective DateNovember 4, 2025
Opt-Out In Effect ThroughNovember 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

DR. SUSAN D WALDMAN PH.D, MFT
Psychologist
1947 DIVISADERO ST STE 1
SAN FRANCISCO, CA 94115
San Francisco County (415) 346-3823
ISOBEL MARIE HEATH MFT
Marriage & Family Therapist
1947 DIVISADERO ST STE 1
SAN FRANCISCO, CA 94115
San Francisco County (415) 504-2617

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 Beth Mitchner's NPI number?

The NPI number for Beth Mitchner is 1447761978. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Beth Mitchner located?

Beth Mitchner practices at 1947 Divisadero St Ste 1, San Francisco, CA 94115. The listed phone number is (415) 644-5754.

What is Beth Mitchner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Beth Mitchner enrolled in Medicare?

No. Beth Mitchner has opted out of Medicare through November 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Beth Mitchner was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.