Organization Active NPI

John B. Mansdorfer, PH.D.

  • Clinical Psychologist
  • Carlsbad, CA
National Provider Identifier
1669698908
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13625 Issued in CA
Legal business name
JOHN B. MANSDORFER, PH.D.
Practice address
785 Grand Ave
219
Carlsbad, CA 92008-2370
Phone
(760) 729-6009
Fax
(760) 729-6009
NPI assigned
Apr 17, 2007
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Dr. John B Mansdorfer, PH.D.NPI 1598900367
Title
Psychologist
Phone
(760) 729-6009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

785 Grand Ave
219
Carlsbad, CA 92008-2370

Mailing address

785 Grand Ave
219
Carlsbad, CA 92008-2370
Phone (760) 729-6009

National Provider Directory

National Provider Directory

Locations

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

785 Grand Ave
Ste 219
Carlsbad, CA 92008
Phone (760) 720-9224

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1669698908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 GRAND AVE",
            "address_2": "219",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082370",
            "telephone_number": "760-729-6009",
            "fax_number": "760-729-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 GRAND AVE",
            "address_2": "219",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082370",
            "telephone_number": "760-729-6009",
            "fax_number": "760-729-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B. MANSDORFER, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "MANSDORFER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "760-729-6009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.