Manatee Care P.a

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

Legal business name

MANATEE CARE P.A

Practice address

4925 S Broadway Ave Unit 8181
Wichita, KS 67216-3716

Phone

(213) 558-4348

NPI assigned

Aug 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Damayanti Dipayana

Title

Director

Phone

(646) 945-8900

Specialties & licenses 4

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1003699646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 HUDSON ST UNIT 7517",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802077523",
            "telephone_number": "213-558-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 S BROADWAY AVE UNIT 8181",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672163716",
            "telephone_number": "213-558-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE CARE P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "DIPAYANA",
        "authorized_official_first_name": "DAMAYANTI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-945-8900"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taibat Mamah
• Yun Man, PHARMD
• Mina Manahan
• Jesus Manapsal Jr., PT
• Ronald Royce Manasco, MD
• Sheri Manchester, LMSW-T
• Mandala Clinical, LLC.
• Mandala Community LLC
• Christos E Mandanis, MD
• Jenifer Mandeville, COTA

• Family Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.