Organization Active NPI

Mann Psychology Corporation

  • Clinical Psychologist
  • Huntington Beach, CA
National Provider Identifier
1679870984
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 18296 Issued in CA
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

Updated by the provider on Apr 24, 2012

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PSY 18296 CA
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X PSY 18296 CA
Adult Development & Aging PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0700X PSY 18296 CA
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X PSY 18296 CA
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PSY 18296 CA Primary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X PSY 18296 CA
Exercise & Sports PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TE1100X PSY 18296 CA
Family PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TF0000X PSY 18296 CA
Health PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0004X PSY 18296 CA
Health Service PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0100X PSY 18296 CA
Group Psychotherapy PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.