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Organization
JOHN MITCHELL MD PC
Active
Organization
JOHN MITCHELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY KEIP (OPERATIONS MANAGER)
(610) 351-0625
Entity
Organization
Contact information
Practice address
1605 N CEDAR CREST BLVD STE 502, ALLENTOWN, PA 18104-2355
(610) 351-0625
Mailing address
1605 N CEDAR CREST BLVD STE 502, ALLENTOWN, PA 18104-2355
(610) 351-0625
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
213680
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
397040
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002391000
INDEPENDENCE BLUE CROSS
—
01
—
0008496118
AETNA
—
05
—
0014259640001
—
PA
01
—
014261
MANAGED HEALTH NETWORK
—
01
—
102791000
MAGELLAN BEH HEALTH
—
01
—
1861
HIGHMARK BS
—
01
—
1862
HIGHMARK BS
—
01
—
1881742377
CBC, HIGHMARK
—
01
—
2181265
CIGNA BEH HEALTH
—
01
—
390766
CAPITAL BLUE CROSS
—
01
—
476535
VALUE OPTIONS
—
01
—
A3159040
OXFORD HEALTH PLAN
—
01
—
A926
AMERIHEALTH ADMIN
—
Enumeration date
10/13/2006
Last updated
03/17/2018
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