Diane P Martins-Mandel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084902-1 Issued in NY

Practice address

560 White Plains Rd Ste 215
Tarrytown, NY 10591-5113

Phone

(914) 359-5841

NPI assigned

Oct 12, 2012

Last updated

Apr 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carmel Psychological Health, PC

  dba LifeStance Psychology

  • Psychologist
  • Carmel, NY
  • NPI 1720194335

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1447502695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SECOND ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565029",
            "telephone_number": "914-589-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 WHITE PLAINS RD STE 215",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915113",
            "telephone_number": "914-359-5841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Grace Church St",
            "address_purpose": "LOCATION",
            "city": "Port Chester",
            "state": "NY",
            "postal_code": "105734911",
            "country_code": "US",
            "telephone_number": "914-937-8899 x8384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINS-MANDEL",
        "first_name": "DIANE",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084902-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICARE",
            "identifier": "WVE061",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NPI",
            "identifier": "1285628552",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID",
            "identifier": "00355940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Marmanillo, RN, BSN
• Alexander Marquez
• Allison Yates Marshall, PHARM.D.
• Jenna Marie Marsico, LMSW
• Viviana Martinez, LMHC
• Victoria Matthew
• Casey Paige Mayer
• Donna Marie Mazzella, MS, CCC-SLP
• Meghan McCann, OTR/L
• Dana Lynn McCarthy, LCSW

• Clinical Social Worker in Tarrytown, NY
• Providers in Tarrytown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.