COLLEEN D MITCHELL, PHD, LLC
NPI 1730547266
Psychologist - Clinical in Laurel, MD

Active since January 28, 2016
8101 SANDY SPRING RD, SUITE 100F, LAUREL, MD 20707(951) 536-3682 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2016, Jan 28, 2016 (2 updates tracked since 2016).

About Colleen D Mitchell, Phd, Llc NPPES

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

COLLEEN D MITCHELL, PHD, LLC (NPI 1730547266) is a healthcare organization registered as a clinical in Laurel, Maryland and active in the NPI registry since January 2016. The organization lists Colleen Denise Mitchell, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1730547266
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCOLLEEN D MITCHELL, PHD, LLC
Location Address8101 SANDY SPRING RD, SUITE 100FLaurel, MD 20707-3596
Mailing Address3505 Turbridge DrBurtonsville, MD 20866-2009 · (951) 536-3682 · Fax (301) 890-0214
Organization SubpartNo
Authorized OfficialColleen Denise MitchellLicensed Clinical Psychologist · (951) 536-3682
Enumeration DateJanuary 28, 2016
Last NPPES UpdateMarch 21, 20162 updates tracked since enumeration
✔ NPI 1730547266 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 MD · 05644
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.
8101 SANDY SPRING RD, Laurel, MD 20707

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen D Mitchell, Phd, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Colleen D Mitchell, Phd, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1184751604
8101 SANDY SPRING RD SUITE 100F
Laurel, MD 20707
(951) 536-3682
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Colleen D Mitchell, Phd, LLC's NPI number?

The NPI number for Colleen D Mitchell, Phd, LLC is 1730547266. It was assigned to this organization in the NPPES registry on January 28, 2016.

Where is Colleen D Mitchell, Phd, LLC located?

Colleen D Mitchell, Phd, LLC is located at 8101 Sandy Spring Rd Suite 100F, Laurel, MD 20707. The listed phone number is (951) 536-3682.

What is Colleen D Mitchell, Phd, LLC's specialty?

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

Is Colleen D Mitchell, Phd, LLC enrolled in Medicare?

Yes. Colleen D Mitchell, Phd, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colleen D Mitchell, Phd, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Colleen D Mitchell, Phd, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colleen D Mitchell, Phd, LLC was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.