Active NPI
Emily Mandelstam
- Marriage & Family Therapist
- Newport Beach, CA
National Provider Identifier
1649079237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 147418
- Practice address
- 4299 Macarthur Blvd Ste 200
Newport Beach, CA 92660-2095 - Phone
- (949) 480-7767
- NPI assigned
- Mar 7, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 147418 | CA | Primary |
Addresses
Primary practice location
4299 Macarthur Blvd Ste 200
Newport Beach, CA 92660-2095
Mailing address
PO Box 51421
Irvine, CA 92619-1421
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147418 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michele Lob, a Professional Corporation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Newport Beach, CA
- NPI 1174075675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1649079237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51421",
"city": "IRVINE",
"state": "CA",
"postal_code": "926191421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4299 MACARTHUR BLVD STE 200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602095",
"telephone_number": "949-480-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDELSTAM",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-03-07",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "147418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.