David Mandelbaum, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

B1000136 Issued in DE

Legal business name

DAVID MANDELBAUM, PH.D.

Practice address

1301 N Harrison St
101
Wilmington, DE 19806-3128

Phone

(302) 429-0195

Fax

(302) 777-1712

NPI assigned

Jul 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David Ira Mandelbaum, PHD

Title

Psychologist

Phone

(302) 429-0195

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter J. Ciecko Jr., PH.D.

  • Psychologist
  • Wilmington, DE
  • NPI 1417164856
  NPD (past)

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

{
    "created_epoch": "1435968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435968000000",
    "number": "1275916579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N HARRISON ST",
            "address_2": "101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063128",
            "telephone_number": "302-429-0195",
            "fax_number": "302-777-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N HARRISON ST",
            "address_2": "101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063128",
            "telephone_number": "302-429-0195",
            "fax_number": "302-777-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MANDELBAUM, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-04",
        "last_updated": "2015-07-04",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "302-429-0195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "DE",
            "license": "B1000136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Larned MD PA
• David Dieu DMD, MD, PA
• David E. Mastrota, DMD,PA
• David J Maleh, MD, PA
• David Kalkstein MD PHD and Associates
• David P Wien, MD LLC
• David S. Estock M.D. P.a.
• Kimberly Ann Davidow, MD
• David J Davidson IV, DPT
• Laura Emily Davidson, ED.S

• Counseling Psychologist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Counseling Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2015; 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.