Active NPI
Dale Mendell, PHD
- Psychoanalysis Psychologist
- Roslyn Heights, NY
National Provider Identifier
1316041999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 3423
- Practice address
- 102 Overlook Ter
Roslyn Heights, NY 11577-1438 - Phone
- (516) 484-0213
- Fax
- (516) 484-0213
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 3423 | NY | Primary |
Addresses
Primary practice location
102 Overlook Ter
Roslyn Heights, NY 11577-1438
Mailing address
102 Overlook Ter
Roslyn Heights, NY 11577-1438
Phone (516) 484-0213
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092736 | Other | NY | GHI / VALUE OPTIONS |
| P620035 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3423 | NY | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316041999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 OVERLOOK TER",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771438",
"telephone_number": "516-484-0213",
"fax_number": "516-484-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 OVERLOOK TER",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771438",
"telephone_number": "516-484-0213",
"fax_number": "516-484-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELL",
"first_name": "DALE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "3423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI / VALUE OPTIONS",
"identifier": "0092736",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P620035",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.