Marshal Mandelkern, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26113 Issued in CT

Practice address

1 Bradley Rd Ste 403
Woodbridge, CT 06525-2235

Phone

(203) 387-1102

Fax

(203) 387-1308

NPI assigned

Mar 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Yale University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmandelkern3880@direct.ynhh.org

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Psychiatry

  Medicare reassignment NPD
• Mill Hill Medical Consultants Inc

  • Pain Medicine (Anesthesiology) Physician
  • Greenwich, CT
  • NPI 1144230954
  NPD
• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138

  Psychiatry

  NPD (past)
• Virginia M Shiller, PH.D., LLC

  • Psychologist
  • Lexington, MA
  • NPI 1285927871
  NPD (past)

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487786927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRADLEY RD STE 403",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252235",
            "telephone_number": "203-387-1102",
            "fax_number": "203-387-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRADLEY RD STE 403",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252235",
            "telephone_number": "203-387-1102",
            "fax_number": "203-387-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELKERN",
        "first_name": "MARSHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "26113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilena Mademtzi, BCBA
• Daniel Magin, RBT
• James Magner, M.D.
• Caitlin Malloy
• Judith Sheilah Mamber, DMD
• Christa M Mann, APRN, FNP-C
• Stacy Mantel, LPC
• Christina Marcinko, MOTR/L
• Veronica Marer, MD
• Jennifer Marie Martin

• Psychiatry Physician in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Psychiatry Physician in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.