DR. MELANIE MITCHELL (PSYD) – Clinical Psychologist, NPI 1215342035

DR. MELANIE MITCHELL (PSYD) is a healthcare provider. based in Detroit, Michigan. specializing in Clinical Psychologist. They hold the professional credentials PSYD. They hold a License No. 6301017578 (MI). The NPI Number for DR. MELANIE MITCHELL (PSYD) is 1215342035

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELANIE MITCHELL (PSYD)
NPI
1215342035
Phone
(313) 524-1422
Address
4468 3RD ST
Enumeration Date
1 July 2014
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9895107626
Graduation Year
2012 (14 years ago)
PAC ID
4981921269
Group Practice PAC ID
4082843412
Professional Enrollment ID
I20181128003513
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for DR. MELANIE MITCHELL (PSYD)

  • 4468 3RD ST

    DETROIT, MI 482011134

    Phone: (313) 524-1422

    Fax: (313) 523-4025

    Type: Mailing

  • 1505 WATERFORD PKWY

    SAINT JOHNS, MI 488799630

    Phone: (989) 224-3000

    Type: Mailing

  • 3600 N SAGINAW RD

    MIDLAND, MI 486402301

    Phone: (989) 510-7626

    Type: Location

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: 2022-07-13

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
I20220713000714IClinical PsychologistNCTBD

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 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082843412View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Family Practice, General PracticeMI
Nurse PractitionerMI
Nurse PractitionerMI
Mental Health CounselorMI
Nurse PractitionerMI
Clinical PsychologistMI
Clinical PsychologistNY
Mental Health CounselorMI
Clinical PsychologistMI

Reviews

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Frequently asked questions

Can I cross-check DR. MELANIE MITCHELL (PSYD) using NPI 1215342035?
NPI 1215342035 belongs to DR. MELANIE MITCHELL (PSYD); compare other details if you need extra assurance.
Is there an active status for DR. MELANIE MITCHELL (PSYD)?
For scheduling context, DR. MELANIE MITCHELL (PSYD) is shown as active in the registry.
What expertise is attributed to DR. MELANIE MITCHELL (PSYD)?
DR. MELANIE MITCHELL (PSYD)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. MELANIE MITCHELL (PSYD) associated with Detroit?
Public fields place DR. MELANIE MITCHELL (PSYD) around Detroit, Michigan. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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