DR. MITCHELL R. KOLES PH.D.
NPI 1942365630
Psychologist in Salt Lake City, UT
About Dr. Mitchell R. Koles Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MITCHELL R. KOLES PH.D. (NPI 1942365630) is an individual psychologist in Salt Lake City, Utah, licensed in Utah (116938-2501) and active in the NPI registry since December 2006. He has opted out of Medicare through October 1, 2026.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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. Mitchell R. Koles Ph.d. 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 October 1, 2020 through October 1, 2026.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Koles's NPI number?
The NPI number for Mitchell Koles is 1942365630. It was assigned to this individual provider in the NPPES registry on December 25, 2006.
Where is Mitchell Koles located?
Mitchell Koles practices at 505 E 200 S Suite 303, Salt Lake City, UT 84102. The listed phone number is (801) 350-0121.
What is Mitchell Koles's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mitchell Koles enrolled in Medicare?
No. Mitchell Koles has opted out of Medicare through October 1, 2026. 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 Mitchell Koles was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.