Nicholas Mitrani, LPE-I - Psychologist in Conway, AR

Nicholas Mitrani, LPE-I is a Psychologist - Clinical based in Conway, Arkansas. Nicholas Mitrani is licensed to practice in Arkansas (license number 18-22P) and his current practice location is 4206 Prince Street, Conway, Arkansas. He can be reached at his office (for appointments etc.) via phone at (501) 932-0255.

NPI number for Nicholas Mitrani is 1629426770 and his current mailing address is 4206 Prince Street, Conway, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629426770.

Contact Information

Nicholas Mitrani, LPE-I
4206 Prince Street,
Conway, AR 72034-9398
(501) 932-0255
Not Available



Healthcare Provider's Profile

Full NameNicholas Mitrani
GenderMale
SpecialityPsychologist - Clinical
Location4206 Prince Street, Conway, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629426770
  • Provider Enumeration Date: 05/31/2016
  • Last Update Date: 07/24/2019

Medical Identifiers

Medical identifiers for Nicholas Mitrani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629426770NPI-NPPES
232944719MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 18-22P (Arkansas)Secondary
103TC1900XPsychologist - Counseling 18-22P (Arkansas)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 18-22P (Arkansas)Secondary
103TC0700XPsychologist - Clinical 18-22P (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Mitrani is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas Mitrani, LPE-I
4206 Prince Street,
Conway, AR 72034-9398

Ph: (501) 932-0255
Nicholas Mitrani, LPE-I
4206 Prince Street,
Conway, AR 72034-9398

Ph: (501) 932-0255

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› Verified 4 days ago


Psychologist in Conway, AR

Susan Sobel, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1014 Main St, Conway, AR 72032
Phone: 501-336-0511    Fax: 501-336-4034
Mrs. Cariann M Bergner-moore, PSYD/PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1312 Donaghey Ave, Conway, AR 72034
Phone: 501-358-6606    
Wendi Elliott,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1014 Main St, Conway, AR 72032
Phone: 501-336-0511    Fax: 501-336-4034
Kimberly Ann Callaway Gentry, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 317 Oak St Ste 3, Conway, AR 72032
Phone: 501-358-6396    
Susan E Schaefer, PH D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034
Phone: 501-336-8300    Fax: 501-329-3572
Sarah Lindeman Root,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Bob Courtway Dr Ste 9, Conway, AR 72032
Phone: 501-812-4268    
Ms. Samantha Sewell Short, PSYD, LP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 317 Oak St Ste 3, Conway, AR 72032
Phone: 501-291-3091    Fax: 501-588-0484

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