Havi Brysk Mandell, PH.D., MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5276-C Issued in NV

Practice address

4794 S Eastern Ave
Suite C
Las Vegas, NV 89119-6145

Phone

(702) 732-0304

Fax

(702) 794-2033

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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 Social Worker

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Growthspring Counseling and Wellness LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1417267469
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1255529897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4794 S EASTERN AVE",
            "address_2": "SUITE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196145",
            "telephone_number": "702-732-0304",
            "fax_number": "702-794-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4794 S EASTERN AVE",
            "address_2": "SUITE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196145",
            "telephone_number": "702-732-0304",
            "fax_number": "702-794-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "HAVI",
        "middle_name": "BRYSK",
        "name_prefix": "Dr.",
        "credential": "PH.D., MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5276-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JFSA",
            "identifier": "1881724250",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucita Someros Mandadero
• Econia Mandefero
• Frhiwat Mandefro
• Elissa R Mandel, MS CCC-SLP, MS SPED,
• Guiseppe Mandell, PERR RECOVERY SUPPOR
• Karina Mandello, B.S.
• Jenna Mandilk-Longhurst, RBT
• Mandip S Arora MD
• Irma Mandujano-Torres, LMSW
• Yvette Michel-Le Mandujano

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.