Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan James Mietchen, T-LMLP

Individual provider Clinical Psychologist · NPI 1073030961

Jonathan James Mietchen, T-LMLP is a Clinical Psychologist in Madison, Wisconsin. Works from 2 locations. Licensed in Kansas and Wisconsin.

Licensed in
KS, WI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-9469
Phone: (608) 263-5430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 217 W Ira Ct, Andover, KS 67002-9469 — (316) 733-5047

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 3815-57 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2795 (KS)

Record details

NPI number1073030961
Entity typeIndividual (Type 1)
GenderMale
Credentials T-LMLP
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESFebruary 8, 2021
Certification dateFebruary 8, 2021

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