RICHARD EDMUND MITCHELL, D.O. — NPI 1528329646 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical) in CLANCY, MT)

CMS-1500 Box 24J / 33a • NPI

1528329646

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TP0016X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)

Box 32 Service Location & ZIP+4

15 RAPTOR RIDGE DR, CLANCY, MT, 59634-8545

✓ 9-Digit EDI 837 ZIP+4 (59634-8545)

Practice Phone & Referral Fax

(406) 616-6503

Fax: (800) 480-7615

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1528329646 (RICHARD EDMUND MITCHELL, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1528329646` (NPI-1 Individual Practitioner)
Provider / Legal Name	RICHARD EDMUND MITCHELL, D.O.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical) NUCC Code: `103TP0016X` (Psychologist, Prescribing (Medical))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	15 RAPTOR RIDGE DR, CLANCY, MT, 59634-8545
Practice Telephone / Fax	Tel: (406) 616-6503 \| Fax: (800) 480-7615
Administrative Mailing Address	15 RAPTOR RIDGE DR, CLANCY, MT, 59634-8545
Enumeration & Last Sync	Enumerated: 2012-06-05 \| CMS Record Updated: 2024-07-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15 RAPTOR RIDGE DR, CLANCY, MT, 59634-8545

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Plain-English Taxonomy & CMS Crosswalk (103TP0016X)

What Does Taxonomy Code 103TP0016X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TP0016X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Prescribing (Medical) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RICHARD EDMUND MITCHELL, D.O.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TP0016X` — Psychologist, Prescribing (Medical) Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)	State: MT \| License: `MED-PHYS-LIC-67970` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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RICHARD EDMUND MITCHELL, D.O. (NPI #1528329646)