Borislava Mandich, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

134511 Issued in NY

Practice address

21 Boomingdale Road
New York Presbyterian Hospital, Westchester Division
White Plains, NY 10605

Phone

(914) 997-5726

Fax

(914) 682-6988

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Weill Medical College of Cornell University

  • Psychologist
  • White Plains, NY
  • NPI 1538352026
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1740494624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BOOMINGDALE ROAD",
            "address_2": "NEW YORK PRESBYTERIAN HOSPITAL, WESTCHESTER DIVISION",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-997-5726",
            "fax_number": "914-682-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BOOMINGDALE ROAD",
            "address_2": "NEW YORK PRESBYTERIAN HOSPITAL, WESTCHESTER DIVISION",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-997-5726",
            "fax_number": "914-682-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDICH",
        "first_name": "BORISLAVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "134511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orkhan Mammadov, DO
• Sanam Manafi-Varkiani, OTR/L
• Daniel Mancini, LMHC
• Lauren Mancusi
• Jill K. Mandel, M.A., CCC-A
• Aristide Pelagie Mane
• Jamie Manhertz
• Noelle Lauren Manley, PHARM D.
• Jonathan Mann, LMSW
• Sasha Mann, PH.D.

• Child & Adolescent Psychiatry Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.