NPIMap

Organization Active NPI

Joan L Mendelson, PH.D.

  • Clinical Psychologist
  • Palo Alto, CA
National Provider Identifier
1417314774
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11233 Issued in CA
Legal business name
JOAN L MENDELSON, PH.D.
Practice address
560 Oxford Ave Ste 6B
Palo Alto, CA 94306-1139
Phone
(650) 328-6764
NPI assigned
Jan 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Dr. Joan Leslie Mendelson, PH.D.NPI 1801343504
Title
Psychologist
Phone
(650) 328-6764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY11233 CA Primary

Addresses

Primary practice location

560 Oxford Ave Ste 6B
Palo Alto, CA 94306-1139

Mailing address

560 Oxford Ave Ste 6B
Palo Alto, CA 94306-1139
Phone (650) 328-6764

National Provider Directory

National Provider Directory

Locations

560 Oxford Ave
Ste 6B
Palo Alto, CA 94306
Phone (650) 328-6764

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1417314774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 OXFORD AVE STE 6B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061139",
            "telephone_number": "650-328-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 OXFORD AVE STE 6B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061139",
            "telephone_number": "650-328-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN L MENDELSON, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "650-328-6764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.