Active NPI
Caitlin Mandia
- Behavior Analyst
- Englewood, CO
National Provider Identifier
1558804864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-34534
- Practice address
- 369 Inverness Pkwy
Englewood, CO 80112-6011 - Phone
- (303) 284-7328
- NPI assigned
- Nov 18, 2016
- Last updated
- Apr 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | 1-19-34534 | CO | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
369 Inverness Pkwy
Englewood, CO 80112-6011
Mailing address
369 Inverness Pkwy Ste 375
Englewood, CO 80112-6083
Phone (303) 284-7328
Other practice location 1
1211 S Parker Rd
Denver, CO 80231-7553
Phone (303) 337-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jumpstart, LLC | Behavior Analyst | Past | Accepting new patients |
| Jumpstart, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba JumpStart Autism Screening and Evaluations
- Clinical Child & Adolescent Psychologist
- Albuquerque, NM
- NPI 1477386852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1558804864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 INVERNESS PKWY STE 375",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801126083",
"telephone_number": "303-284-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 INVERNESS PKWY",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801126011",
"telephone_number": "303-284-7328"
}
],
"practiceLocations": [
{
"address_1": "1211 S Parker Rd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802317553",
"country_code": "US",
"telephone_number": "303-337-2210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDIA",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-19-34534",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.