Marisa Mendel MD PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

MARISA MENDEL MD PLLC

Practice address

199 Wells Ave Ste 102
Newton Centre, MA 02459-3320

Phone

(781) 472-1477

Fax

(412) 753-7640

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Marisa R Mendel, MDNPI 1184913154

Title

Psychiatrist

Phone

(781) 472-1477

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marisa Mendel, M.D.

  • Child & Adolescent Psychiatry Physician
  • Newton Centre, MA
  • NPI 1184913154
  NPD Authorized official

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1548862162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 WELLS AVE STE 102",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024593320",
            "telephone_number": "781-472-1477",
            "fax_number": "412-753-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 WELLS AVE STE 102",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024593320",
            "telephone_number": "781-472-1477",
            "fax_number": "412-753-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISA MENDEL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MENDEL",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "781-472-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ofelia Monique Mabry, DMD
• Meghan Magee
• Matthew Mahoney, PA-C
• Katherine D Manners, M.ED, LMFT
• Mantra Mental Health Counseling LLC
• Scott McCarthy, NP-C
• Aila Jesse McCutchen, PSYD
• Merrill Fowler Mead-Fox, PH.D.
• Jenna Mehlhorn
• Joyce Mendel, M.D.

• Child & Adolescent Psychiatry Physician in Newton Centre, MA
• Providers in Newton Centre, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.