Charles S. Mansueto, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

00910 Issued in MD

Practice address

11227 Lockwood Dr
Silver Spring, MD 20901-4562

Phone

(301) 593-4040

Fax

(301) 593-9148

NPI assigned

May 21, 2007

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Behavior Therapy Center of Greater Washington, P.a.

  • Cognitive & Behavioral Psychologist
  • Silver Spring, MD
  • NPI 1801005442
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1245449883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 KIMBERLY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031218",
            "fax_number": "301-593-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014562",
            "telephone_number": "301-593-4040",
            "fax_number": "301-593-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSUETO",
        "first_name": "CHARLES",
        "middle_name": "S.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "00910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel G Manoel, DPT
• Manor Care of Silver Spring MD, LLC
• Isatu Mansaray
• Mohamed Lamin Mansaray
• Abibatu Mansary Sidique, HHA
• Lissa Mantell, LICSW, LCSW-C
• Mantoni Mobile Dentistry
• Robert Raymond Mantoni, D.D.S
• Ayana S Manzanares
• Brittani Mapson

• Cognitive & Behavioral Psychologist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Cognitive & Behavioral Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.