RICHARD S. MITCHELL (PH.D.) – Cognitive & Behavioral Psychologist, NPI 1477551547

RICHARD S. MITCHELL (PH.D.) is a healthcare provider. based in Dennis port, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 396 (MA). The NPI Number for RICHARD S. MITCHELL (PH.D.) is 1477551547

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD S. MITCHELL (PH.D.)
NPI
1477551547
Phone
(508) 394-8677
Address
15 SHIRLEY AVE
Enumeration Date
12 July 2005
Last Update Date
8 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083948677
Graduation Year
1976 (50 years ago)
PAC ID
0244356079
Professional Enrollment ID
I20100929000445
Address ID
MA026392443DE15XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for RICHARD S. MITCHELL (PH.D.)

  • 15 SHIRLEY AVE

    DENNIS PORT, MA 026392443

    Phone: (508) 394-8677

    Fax: (508) 394-1180

    Type: Mailing

  • 15 SHIRLEY AVENUE

    DENNIS PORT, MA 026395590

    Phone: (508) 394-8677

    Fax: (508) 394-1180

    Type: Location

  • PO BOX 1590

    DENNIS PORT, MA 026395590

    Phone: (508) 394-8677

    Fax: (508) 394-1180

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100929000445IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02639)

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Reviews

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Frequently asked questions

What is RICHARD S. MITCHELL (PH.D.)'s NPI number?
RICHARD S. MITCHELL (PH.D.)'s NPI is 1477551547 — the number used across U.S. healthcare to identify this provider.
Is there an active status for RICHARD S. MITCHELL (PH.D.)?
For scheduling context, RICHARD S. MITCHELL (PH.D.) is shown as active in the registry.
What expertise is attributed to RICHARD S. MITCHELL (PH.D.)?
RICHARD S. MITCHELL (PH.D.)'s specialty line reads Cognitive & Behavioral Psychologist. Clinical services aligned with this taxonomy classification.
Is RICHARD S. MITCHELL (PH.D.) located near Dennis Port?
RICHARD S. MITCHELL (PH.D.) currently maps to Dennis Port, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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