Sanjay Manchanda, M.A. PH.D. LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-10372 Issued in AZ

Practice address

1624 E Calle Altivo
Tucson, AZ 85718-5807

Phone

(520) 403-4798

NPI assigned

Jul 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Counseling Services

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1366628042
  NPD Authorized official

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1144575770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E CALLE ALTIVO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185807",
            "telephone_number": "520-577-7084",
            "fax_number": "520-325-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E CALLE ALTIVO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185807",
            "telephone_number": "520-403-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHANDA",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "M.A. PH.D. LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-10372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nessa Marie Manalang, CRNA
• Justine Calazan Manalastas, DMD
• Maria Linda Manalo, NP
• Angela Gloria Manansala, M.D.
• Carly Mance, LPC
• Peter Jonathan Manchen, DO
• Kevin P Manchenton, PA-C
• Lorraine Hanna Manciet, MD
• Sudhir Manda, MD
• Jonathan Edward Mandabach, M.D.

• Marriage & Family Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.