Jonathan Mietchen, T-LMLP
NPI 1073030961 · Clinical Neuropsychologist · Madison, WI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Mietchen, T-LMLP is a Clinical Neuropsychologist provider in Madison, WI (NPI 1073030961).
Provider details
- NPI number
- 1073030961
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- T-LMLP
- Sex
- Male
- Sole proprietor
- No
- License
- 2795 (KS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 217 W Ira CtAndover, KS 67002-9469Phone: (316) 733-5047
Registry dates
- Enumerated
- 2017-08-23
- Last updated
- 2021-02-08
- Certified
- 2021-02-08
Frequently asked questions
- What is Jonathan Mietchen's NPI number?
- Jonathan Mietchen's National Provider Identifier (NPI) is 1073030961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Mietchen's specialty?
- Jonathan Mietchen is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Jonathan Mietchen located?
- Jonathan Mietchen's practice location on file with NPPES is 600 Highland Ave, Madison, WI 53792-9469.
- What is Jonathan Mietchen's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Mietchen is (608) 263-5430.
- Does Jonathan Mietchen accept Medicare?
- Jonathan Mietchen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Mietchen's NPI active?
- Yes — Jonathan Mietchen's NPI (1073030961) is active in the NPPES registry as of the last update on 2021-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.