DR. MITCHELL SCOTT WEISBROD (PSY.D.) – Clinical Psychologist, NPI 1629141007
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 CLINICAL PSYCHOLOGIST in MI
Provider Addresses for DR. MITCHELL SCOTT WEISBROD (PSY.D.)
1505 Waterford Pkwy
Saint Johns, MI 488799630
Phone: (989) 292-3572
Type: Location
202, West Avenue, Jackson, Butts County, Georgia, 30233, United States
JACKSON, MI 492011903
Phone: (517) 544-7700
Fax: (517) 780-9239
Type: Location
437 FERN AVE STE C
JACKSON, MI 492023970
Phone: (989) 292-3592
Fax: (517) 780-9239
Type: Location
115, South West Avenue, Jackson, Jackson County, Michigan, 49201, United States
STE 1
JACKSON, MI 492012085
Phone: (517) 544-7700
Fax: (517) 612-8817
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: 2008-01-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080109000199 | I | Clinical Psychologist | MI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 462 | 36 | $0 |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 55 | 17 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 32 | 32 | $0 |
| 96130 | Evaluation of psychological test, first hour | 15 | 15 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48879)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| Family Practice, General Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Mental Health Counselor | MI | |
| Nurse Practitioner | MI | |
| Clinical Psychologist | NY | |
| Mental Health Counselor | MI | |
| Clinical Psychologist | MI |
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