IndividualActive
Brendan Mitchell, NSSP
NPI 1740172535 · School Psychologist · St Augustine, FL
Provider details
- NPI number
- 1740172535
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Credential
- NSSP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1544316 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
560 Modesto Dr
St Augustine, FL 32086-7378
Phone: (347) 681-5095
Approximate (ZIP-level) locationGet directions
Mailing address
560 Modesto Dr
St Augustine, FL 32086-7378
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.