Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Wax

Individual provider Psychologist · NPI 1417912510

Mitchell Wax is a Clinical Psychologist in Lakewood, Ohio. Qualified in 1977, 49 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
49
Licensed in
OH
In the registry since
2006

Practice location Address checks out

13535 Detroit Ave Ste 5
Lakewood, OH 44107-4625
Phone: (216) 221-6260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 3036 (OH)

Record details

NPI number1417912510
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2006
Last updated in NPPESMarch 15, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lakewood