Stanley M Mandel, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100314900 Issued in NJ

Practice address

155 South St
Freehold, NJ 07728-2042

Phone

(732) 303-8171

Fax

(732) 536-4562

NPI assigned

Oct 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073696738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OWENS RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461532",
            "telephone_number": "732-536-6366",
            "fax_number": "732-536-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SOUTH ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282042",
            "telephone_number": "732-303-8171",
            "fax_number": "732-536-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "STANLEY",
        "middle_name": "M",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100314900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "324900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "048778",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6803049",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P736080",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleksandra Makogon, FNP-C
• Denise Krisitin Maldonado, PT, DPT
• Abigail A Malit
• Manalapan Driving School Inc
• Peter Corey Mandel, MD
• Tiffany Mandeville
• Marissa Anne Manfre
• Martha M Manger, LPC
• Patricia Mangine
• Amanda Mangulabnan, PTA

• Psychologist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.