Kathryn Virginia Mantz, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY8997 Issued in CA

Practice address

5887 Brockton Ave
Riverside Psychiatric Medical Group Ste a
Riverside, CA 92506

Phone

(951) 275-8500

Fax

(951) 275-8560

NPI assigned

Sep 11, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164526232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 BROCKTON AVE",
            "address_2": "RIVERSIDE PSYCHIATRIC MEDICAL GROUP STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-275-8500",
            "fax_number": "951-275-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 BROCKTON AVE",
            "address_2": "RIVERSIDE PSYCHIATRIC MEDICAL GROUP STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-275-8500",
            "fax_number": "951-275-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTZ",
        "first_name": "KATHRYN",
        "middle_name": "VIRGINIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY8997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Michelle Laleh Mansouri, M.S.
• Shahla Mansouri, FNP.,MSN.,MPH.
• Karen Mansy
• Zdenka Anna Manthei, PHARM.D.
• Alicia Nicole Mantilla
• Romelea Manucal, M.A.,B.C.B.A.
• Lisa Manuel
• Delia Manzanares Vegas
• Stephen Manzanares
• Miguel Angel Manzano

• Psychologist in Riverside, CA
• Providers in Riverside, CA by specialty
• Psychologist in California

• 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.