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Dr. Deloris Mitchell , PhD, IMH-E

Psychologist β€’ Providence, RI

Active NPI 1699163212 Individual Practitioner Female Practitioner
Practice location in NPPES

417 Academy Ave # 2
Providence, RI 029084139

Call 4012275446 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

417 Academy Ave # 2

Providence, RI 029084139

Telephone 4012275446

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Providence and Rhode Island

122 active clinicians are listed under Psychologist with a practice address in Providence, RI (245 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

4.9% of these 122 clinicians have the CMS telehealth indicator.

11.5% of these 122 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-19
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 19, 2025

Registered at 417 ACADEMY AVE # 2, PROVIDENCE, RI 029084139 (Tel: 4012275446)

πŸ“
Updated Business Mailing Address June 19, 2025

Registered at 417 ACADEMY AVE # 2, PROVIDENCE, RI 029084139 (Tel: 4012275446)

πŸ‘€
Provider Name / Credentials Updated June 19, 2025

Recorded as DELORIS MITCHELL, PHD, IMH-E

βœ…
NPI Profile Active February 04, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 04, 2015

Registered at 992 RIVER ST, HYDE PARK, MA 021363132 (Tel: 6172918670)

πŸ“
Business Mailing Address (Initial Record) February 04, 2015

Registered at 992 RIVER ST, HYDE PARK, MA 021363132

πŸ‘€
Provider Name / Credentials (Initial Record) February 04, 2015

Recorded as DELORIS MITCHELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2015

Counselor

🟒
Initial NPI Registration & Enumeration January 05, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699163212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2015
Last Update: June 19, 2025
Sole Proprietor: Yes

Other Psychologists in Providence

All Psychologists in Providence

Mailing Address

417 Academy Ave # 2

Providence, RI 029084139

Phone: 4012275446

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.