Active NPI
Mann Psychology Corporation
- Clinical Psychologist
- Huntington Beach, CA
National Provider Identifier
1679870984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 18296
- Legal business name
- MANN PSYCHOLOGY CORPORATION
- Practice address
- 9114 Adams Ave # 179
Huntington Beach, CA 92646-3405 - Phone
- (949) 864-6644
- NPI assigned
- Feb 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pavaninder Mann, PH.D.
- Title
- Psychologist
- Phone
- (949) 864-6644
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 18296 | CA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PSY 18296 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | PSY 18296 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY 18296 | CA | |
| Clinical Psychologist | 103TC0700X | PSY 18296 | CA | Primary |
| Counseling Psychologist | 103TC1900X | PSY 18296 | CA | |
| Exercise & Sports Psychologist | 103TE1100X | PSY 18296 | CA | |
| Family Psychologist | 103TF0000X | PSY 18296 | CA | |
| Health Psychologist | 103TH0004X | PSY 18296 | CA | |
| Health Service Psychologist | 103TH0100X | PSY 18296 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY 18296 | CA |
Addresses
Primary practice location
9114 Adams Ave # 179
Huntington Beach, CA 92646-3405
Mailing address
9114 Adams Ave # 179
Huntington Beach, CA 92646-3405
Phone (949) 864-6644
National Provider Directory
National Provider DirectoryLocations
9114 Adams Ave
Huntington Beach, CA 92646
Phone (714) 593-1535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1679870984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9114 ADAMS AVE # 179",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926463405",
"telephone_number": "949-864-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9114 ADAMS AVE # 179",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926463405",
"telephone_number": "949-864-6644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANN PSYCHOLOGY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-23",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "PAVANINDER",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "949-864-6644",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 18296",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "PSY 18296",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "PSY 18296",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY 18296",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 18296",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY 18296",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Exercise & Sports",
"state": "CA",
"license": "PSY 18296",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "CA",
"license": "PSY 18296",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": "CA",
"license": "PSY 18296",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": "CA",
"license": "PSY 18296",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSY 18296",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.