Active NPI
Denise Lynne Mandel, PHD
- Psychologist
- Los Angeles, CA
National Provider Identifier
1285749309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY11794
- Practice address
- 1180 S Beverly Dr Ste 403
Los Angeles, CA 90035-1156 - Phone
- (310) 275-8705
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY11794 | CA | Primary |
Addresses
Primary practice location
1180 S Beverly Dr Ste 403
Los Angeles, CA 90035-1156
Mailing address
1180 S Beverly Dr Ste 403
Los Angeles, CA 90035-1156
Phone (310) 275-8705
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11794 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1285749309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 S BEVERLY DR STE 403",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351156",
"telephone_number": "310-275-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 S BEVERLY DR STE 403",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351156",
"telephone_number": "310-275-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "DENISE",
"middle_name": "LYNNE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY11794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.