Paul Chandra Mangal, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

31838 Issued in CA

Practice address

3626 Sacramento St Ste 4
San Francisco, CA 94118-1720

Phone

(424) 226-6128

NPI assigned

Jun 1, 2020

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

Enrolled in CA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kandm Neuropsychology, a Psychology CorporationGroup PAC ID 8921373184, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• K&M Neuropsychology, a Psychology Corporation

  • Clinic/Center
  • Mill Valley, CA
  • NPI 1760900831
  Medicare reassignment Care Compare group NPD
• Pacific Cognitive Health, a Professional Psychological Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Francisco, CA
  • NPI 1912637521
  NPD Authorized official
• California Pacific Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1245854660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210160",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941210160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 SACRAMENTO ST STE 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181720",
            "telephone_number": "424-226-6128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Pine St Ste 1715",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941115619",
            "country_code": "US",
            "telephone_number": "510-999-7238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGAL",
        "first_name": "PAUL",
        "middle_name": "CHANDRA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "31838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Maneschi, OTR/L
• Jeffrey D Manese, PA-C
• Alicia Maness
• Mang Chen MD PC
• Charlotte Faye Mangabat
• Jessica Espino Mangaliag
• James Manganaro, AMFT 147017
• Harold B Mangar, DC
• Eve Marie Manghis, MD
• Michael Mangibuyat, PT

• Clinical Neuropsychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.