Alix L Mansbach, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6737 Issued in MD

Practice address

8401 Connecticut Ave Ste 1000
Chevy Chase, MD 20815-5841

Phone

(240) 424-0184

NPI assigned

Nov 5, 2008

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Assessment and Treatment

  • Clinical Neuropsychologist
  • Chevy Chase, MD
  • NPI 1619230208

  Clinical

  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1376797290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 1000",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155841",
            "telephone_number": "240-424-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 1000",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155841",
            "telephone_number": "240-424-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSBACH",
        "first_name": "ALIX",
        "middle_name": "L",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "6737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376797290",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "caatonline.com",
            "affiliation": "N",
            "address_1": "8401 Connecticut Ave Ste 1000",
            "city": "Chevy Chase",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208155841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kanika Malhotra
• Margaret Leslie Mallory-Powell, PH.D.
• Danielle Mandir
• Keon B. Manesh, DDS, MS
• Manor Care of Chevy Chase MD, LLC
• Esteban Guillermo Mantilla Rodriguez, PHYSICIAN ASSISTANT
• Anand Mantravadi, M.D.
• Robert L. Mapou, PH.D.
• Margaret Reba Stevens Oneill MD, LLC
• Elizabeth Margiotta, PT

• All providers in Chevy Chase, MD
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.