Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Joseph Matthew Mitchell, PHD

Individual provider Psychologist · NPI 1255829081

Dr. Joseph Matthew Mitchell, PHD is a Clinical Psychologist in Bloomington, Illinois. Qualified in 2020, 6 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
6
Licensed in
IL, MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2103 E Washington St Ste 1D
Bloomington, IL 61701-4310
Phone: (773) 245-6704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.010644 (IL)
Psychologist Taxonomy 103T00000X · Licence 6301017411 (MI)

Record details

NPI number1255829081
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 26, 2018
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address129 Crossing Dr, Normal, IL 61761-4780

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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