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

Dr. Roy Lee Mitchell, PSYD

Individual provider Clinical Psychologist · NPI 1942752068

Dr. Roy Lee Mitchell, PSYD is a Clinical Psychologist in Riverview, Florida. Qualified in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2016
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210
Phone: (813) 605-9220
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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 PY12113 (FL)

Record details

NPI number1942752068
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 25, 2016
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing address12920 Summerfield Crossing Blvd, Riverview, FL 33579-7210

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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