Punit Mahendru, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

16043 Issued in CA

Practice address

200 E Hacienda Ave
Campbell, CA 95008-6617

Phone

(408) 871-5815

Fax

(408) 871-5825

NPI assigned

Dec 21, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1558425793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46925 ZAPOTEC DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397212",
            "telephone_number": "408-871-5815",
            "fax_number": "408-871-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HACIENDA AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086617",
            "telephone_number": "408-871-5815",
            "fax_number": "408-871-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHENDRU",
        "first_name": "PUNIT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "16043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "39350 Civic Center Dr",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945382343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sepideh Madani
• Claire Madel, MS, AMFT
• Diane Maez, LPCC
• Joaquin Magana
• Jonah Mageria
• Armand Mahinfallah
• Anna Nguyen Mai, ACUPUNCTURIST
• Kimberly Uyen Mai, AMFT
• Fumiyo Makino, M.S.,P.T.
• Shannon Nevah Malabuyo, PA-C

• Psychologist in Campbell, CA
• Providers in Campbell, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.