Organization Active NPI

Elisabeth Mandel, Licensed Marriage and Family Therapist, PLLC

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1477927960
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001022 Issued in NY
Legal business name
ELISABETH MANDEL, LICENSED MARRIAGE AND FAMILY THERAPIST, PLLC
Practice address
25 W 45TH St
Suite 401
New York, NY 10036-4902
Phone
(212) 255-2693
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Alexa Besgen
Title
Administrator
Phone
(914) 437-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001022 NY Primary

Addresses

Primary practice location

25 W 45TH St
Suite 401
New York, NY 10036-4902

Mailing address

25 W 45TH St
Suite 401
New York, NY 10036-4902
Phone (212) 255-2693

National Provider Directory

National Provider Directory

Locations

25 W 45th St
Ste 401
New York, NY 10036
Phone (212) 255-2693

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1477927960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W 45TH ST",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364902",
            "telephone_number": "212-255-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W 45TH ST",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364902",
            "telephone_number": "212-255-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH MANDEL, LICENSED MARRIAGE AND FAMILY THERAPIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BESGEN",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "914-437-5850"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.