DR. ROY LEE MITCHELL PSYD
NPI 1942752068
Psychologist - Clinical in Riverview, FL

Q: What is Roy Mitchell's NPI number?

The NPI number for Roy Mitchell is 1942752068. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Q: What is Roy Mitchell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roy Mitchell was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 25, 2016PECOS EnrolledAccepts Medicare Assignment

12920 SUMMERFIELD CROSSING BLVD, RIVERVIEW, FL 33579(813) 605-9220 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Roy Lee Mitchell Psyd NPPES

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

DR. ROY LEE MITCHELL PSYD (NPI 1942752068) is an individual clinical provider in Riverview, Florida, licensed in Florida (PY12113) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942752068

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ROY LEE MITCHELLCredential: PSYD

Location Address12920 SUMMERFIELD CROSSING BLVDRiverview, FL 33579-7210

Mailing Address12920 Summerfield Crossing BlvdRiverview, FL 33579-7210 · (813) 605-9220

Phone(813) 605-9220

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 25, 2016

Last NPPES UpdateJanuary 11, 2024

NPPES CertifiedJanuary 11, 2024

✔ NPI 1942752068 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 FL · PY12113

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.

12920 SUMMERFIELD CROSSING BLVD, Riverview, FL 33579

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roy Lee Mitchell Psyd 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 ID7618468968

PECOS Enrollment IDI20251114000020

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33579 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

DANIEL OLSON M.D.

Internal Medicine