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Active NPI 1417755141 Individual Practitioner Male Practitioner

Mario Lavell Mitchell , DSS PROFESSIONAL

Psychologist - Intellectual & Developmental Disabilities • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Mario Mitchell, DSS PROFESSIONAL is a registered healthcare professional specializing in Psychologist - Intellectual & Developmental Disabilities in Omaha, NE. Practice services are available at 543 N 86TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

543 N 86th St

Omaha, NE 681143505

Telephone 4028137110
Fax 4028137110

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Intellectual & Developmental Disabilities in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Omaha, NE (16 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

CMS Verified: 2026-03-06
Psychologist - Intellectual & Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 103TM1800X

State License NE 261QD1600X

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 06, 2025

NPI status registered as active in NPPES database

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Updated Practice Location March 06, 2025

Registered at 543 N 86TH ST, OMAHA, NE 681143505 (Tel: 4028137110)

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Updated Business Mailing Address March 06, 2025

Registered at 543 N 86TH ST # 68114, OMAHA, NE 681143505 (Tel: 4028137110)

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Provider Name / Credentials Updated March 06, 2025

Recorded as MARIO MITCHELL, DSS PROFESSIONAL

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2025

Psychologist (License #261QD1600X in NE)

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Initial NPI Registration & Enumeration March 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1417755141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2025
Last Update: March 06, 2026
Sole Proprietor: Yes

Mailing Address

543 N 86th St # 68114

Omaha, NE 681143505

Phone: 4028137110

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

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