Active NPI
Isobel Mannino
- Marriage & Family Therapist
- Bensalem, PA
National Provider Identifier
1235969825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMF000014
- Practice address
- 2617 Street Rd
Bensalem, PA 19020-2864 - Phone
- (484) 800-1652
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMF000014 | PA | Primary |
Addresses
Primary practice location
2617 Street Rd
Bensalem, PA 19020-2864
Mailing address
2617 Street Rd # 282
Bensalem, PA 19020-2864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMF000014 | PA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakubov Life Therapy, PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
2617 Street Rd
Bensalem, PA 19020
Phone (215) 690-1059
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Bensalem, PA
- NPI 1063181964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1235969825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 STREET RD # 282",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 STREET RD",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202864",
"telephone_number": "484-800-1652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNINO",
"first_name": "ISOBEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "AMF000014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.