Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467697730 Individual Practitioner Male Practitioner

Vernon Harrell Mitchell , UNLICENSED

Specialist • Richmond, CA

Professional Overview & Biography Verified Profile Summary

Vernon Mitchell, UNLICENSED is a registered healthcare professional specializing in Specialist in Richmond, CA. Practice services are available at 4244 WALL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4244 Wall Ave
4505 Taft Ave

Richmond, CA 948043452

Telephone 5102353172
Associated Practice Facility / Clinic
🏢 R&r Educational Homes Facility NPI 1699955906

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Richmond, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Richmond, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID 193200000x Multi- Specialty Group
680386415 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Jessie Tate

Counselor

NPI 1114110368
NPI 1225211170

Master of Social Work

Jason Newell

Counselor - Mental Health

NPI 1386835189
Allen Wilson

Counselor - Mental Health

NPI 1538463138
NPI 1649571746
Justin Amaral

Residential Treatment Facility, Emotionally Disturbed Children

NPI 1720373939

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2008

Registered at 4244 WALL AVE, 4505 TAFT AVE, RICHMOND, CA 948043452 (Tel: 5102353172)

📍
Updated Business Mailing Address December 15, 2008

Registered at 128 S 3RD ST, RICHMOND, CA 948042118 (Tel: 5102353172)

👤
Provider Name / Credentials Updated December 15, 2008

Recorded as VERNON MITCHELL, UNLICENSED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2008

Specialist

🟢
Initial NPI Registration & Enumeration December 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467697730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2008
Last Update: December 15, 2008
Sole Proprietor: No

Mailing Address

128 S 3rd St

Richmond, CA 948042118

Phone: 5102353172

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.