Joseph Matthew Mitchell, PH.D.
NPI 1255829081ActiveIndividual· Psychologist, Clinical· Bloomington, IL
Psychologist, Clinical (PH.D.) with The Board of Trustees of the University of Illinois, practicing in Bloomington, Illinois. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1255829081 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Apr 26, 2018 |
| Last updated in NPPES | Feb 28, 2024 |
| Certified by provider | Feb 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071.010644 | IL |
| Psychologist | 103T00000X | 6301017411 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- The Board of Trustees of the University of IllinoisChicago, IL · 1,150 clinicians
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