Individual provider Active NPI

John B Mansdorfer, PH.D.

  • Clinical Psychologist
  • Escondido, CA
National Provider Identifier
1598900367
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13625 Issued in CA
Practice address
3271 Crane Ave
Escondido, CA 92027-6218
Phone
(760) 822-2726
NPI assigned
Dec 9, 2008
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY13625 CA Primary

Addresses

Primary practice location

3271 Crane Ave
Escondido, CA 92027-6218

Mailing address

3271 Crane Ave
Escondido, CA 92027-6218
Phone (760) 822-2726

Other names 1

  • John B Mansdorfer PH D Inc Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000096 CA Practitioner - Clinical Psychologist 7315008448

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3271 Crane Ave
Escondido, CA 92027-6218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY13625CAMDClinical Psychologist
13625CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John B. Mansdorfer, PH.D. Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

1207 Carlsbad Village Dr
Ste R
Carlsbad, CA 92008
Phone (760) 720-4997

785 Grand Ave
Ste 219
Carlsbad, CA 92008
Phone (760) 729-6009

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1598900367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 CRANE AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920276218",
            "telephone_number": "760-822-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 CRANE AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920276218",
            "telephone_number": "760-822-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSDORFER",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "MANSDORFER PH D INC",
            "middle_name": "B",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.