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

Dr. Matthew Robert Mitchell, MD

Individual provider Psychiatry Physician · NPI 1255918462

Dr. Matthew Robert Mitchell, MD is a Psychiatry in Provo, Utah. Graduated from University of Arizona College of Medicine - Phoenix in 2021, 5 years ago. Practices with Az Holding 4, LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Trained at
University of Arizona College of Medicine - Phoenix
Licensed in
UT
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3549 N University Ave
Provo, UT 84604-4487
Phone: (385) 284-7615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 14283532-1205 (UT)

Record details

NPI number1255918462
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2021
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address3549 N University Ave, Provo, UT 84604-4487

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - PHOENIX
Graduated 2021 (5 years in practice)
Group practice Az Holding 4, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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