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

Mitchell Wax

Individual provider Psychologist · NPI 1417912510

Mitchell Wax is a Clinical Psychologist in Lakewood, Ohio. Qualified in 1977, 49 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
49
Licensed in
OH
In the registry since
2006

Practice location Address checks out

13535 Detroit Ave Ste 5
Lakewood, OH 44107-4625
Phone: (216) 221-6260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 3036 (OH)

Record details

NPI number1417912510
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2006
Last updated in NPPESMarch 15, 2017
Mailing address13535 Detroit Ave, Ste 5, Lakewood, OH 44107-4625

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lakewood