Robert Mantell, RN, PHD, Licensed Psychologist

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP4396 Issued in MN

Legal business name

ROBERT MANTELL, RN, PHD, LICENSED PSYCHOLOGIST

Practice address

821 Raymond Ave Ste 330
Saint Paul, MN 55114-1510

Phone

(651) 503-6322

Fax

(651) 642-1506

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Robert Alan Mantell, RN, PHDNPI 1750381760

Title

Psychologist

Phone

(651) 503-6322

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Alan Mantell, PHD, L.P.

  • Psychologist
  • Saint Paul, MN
  • NPI 1750381760
  NPD (past) Authorized official
• Dick D Jones, PHD

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1912906215
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1659852093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 BRANSTON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081437",
            "telephone_number": "651-503-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 330",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141510",
            "telephone_number": "651-503-6322",
            "fax_number": "651-642-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MANTELL, RN, PHD, LICENSED PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "MANTELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-503-6322",
        "authorized_official_credential": "RN, PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP4396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ummulkheyr Kassim Omar Roba
• Heather Robbins, DPT
• Riann Bree Robbins, M.D.
• Robert Binger M.a., PA
• Robert J Maley DDS PA
• Robert McCauley LLC
• Robert Roddy M.D. P.a.
• Robert S. Robitaille DO LLC
• Robert W. Glineburg, D.D.S., M.S., P.a.
• Norma Corrinne Roberts-Hakizimana, RN

• Counseling Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.