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

Individual provider Psychologist · NPI 1700131703

Dr. Nathanael Mitchell is a Clinical Psychologist in Louisville, Kentucky. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
17
Licensed in
KY
In the registry since
2012
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Practice location Address checks out

6511 Glenridge Park Pl Ste 5
Louisville, KY 40222-3452
Phone: (502) 614-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence KY-1624 (KY)

Record details

NPI number1700131703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2012
Last updated in NPPESJuly 17, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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