P Praxis·MD
● Active Type 1 · Individual

Gwen E. Mitchell

Psychologist·Moscow, ID· NPI 1508989237 · Enumerated 2007 · 19 years on NPI
Mitchell is 1 of 1 psychologist providers in Moscow and 1 of 23 in Idaho.
NPI age
19 years
Enumerated 2007-04-09
Primary specialty
Psychologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 23 active psychologist providers in Idaho.

NPI age
19 years
↑ 14 yr above median (5 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
129 W 3rd St
Moscow, ID 838432268
📞 2088853588
Mailing address
420 Summit Rd
Moscow, ID 838439651

Additional practice locations

1 secondary location on file with NPPES.

Location 2
623 S Main St Ste 1
Moscow, ID 838432983
📞 2088822011fax 2088831853

Specialties

  • Psychologist Primary
    A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares...
    taxonomy 103TS0200X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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