Aza Mantashashvili, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 Stone PL
Bronxville, NY 10708-3426

Phone

(914) 441-7460

NPI assigned

Apr 2, 2025

Last updated

Apr 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Aza Mantashashvili Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1144024753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E 82ND ST APT 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282728",
            "telephone_number": "914-441-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STONE PL",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083426",
            "telephone_number": "914-441-7460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3517 E Tremont Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104652002",
            "country_code": "US",
            "telephone_number": "718-792-4178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTASHASHVILI",
        "first_name": "AZA",
        "name_prefix": "Dr.",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZA",
            "last_name": "MANTASHASHVILI",
            "prefix": "DR.",
            "credential": "CMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Madeline Maldonado, LCSW Consulting P.C.
• Joseph E Magaro, MD
• Madeline Maldonado, LCSW-R, LCSW, LSCSW
• Charles William Mango, M.D.
• Maria Cristina Manjarres
• Vincent Fiore Manzo, PA-C
• Joanne Seidel Maresca, RN, NNP
• Consuella Georgiana Margineanu Albastroiu, MD
• Marissa Furnari SLP PLLC
• Nicholas Marsh, DDS

• Mental Health Counselor in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.