Patricia F Mandell, MA, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA3099 Issued in FL

Practice address

787 37TH St Ste E100
Vero Beach, FL 32960-7304

Phone

(772) 569-9747

Fax

(772) 569-9979

NPI assigned

May 4, 2017

Last updated

Jun 6, 2017By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1639605090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607304",
            "telephone_number": "772-569-9747",
            "fax_number": "772-569-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607304",
            "telephone_number": "772-569-9747",
            "fax_number": "772-569-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "PATRICIA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA3099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria V Mallia
• Genevieve Brown Mallon, M.D.
• William J. Mallon, M.D.
• Marcus J Malone, MD
• Mana Alternative Health, LLC
• Maria Christina Mandina-Dimarco, PSYD
• Leonardo Mandina, M.D.
• Angela Mann
• Diane Joyce Manning
• Keya Manning, LPN, RN

• Speech-Language Pathologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.