Active NPI
Rebecca Mandel
- Psychiatric/Mental Health Registered Nurse
- New York, NY
National Provider Identifier
1750087383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 532114
- Practice address
- 353 W 48TH St
New York, NY 10036-1324 - Phone
- (347) 676-0886
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 532114 | NY | |
| Registered Nurse | 163W00000X | 532114 | NY | |
| Administrator Registered Nurse | 163WA2000X | 532114 | NY | |
| Case Management Registered Nurse | 163WC0400X | 532114 | NY | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 678716 | CA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 532114 | NY | Primary |
Addresses
Primary practice location
353 W 48TH St
New York, NY 10036-1324
Mailing address
353 W 48TH St
New York, NY 10036-1324
Phone (347) 676-0886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 532114 | NY | MD | Registered Nurse |
| 678716 | CA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable Fortunes LLC | Case Management | Current | Accepting new patients |
Locations
353 W 48th St
New York, NY 10036
Phone (347) 676-0886
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1841996477
Case Management
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1750087383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 W 48TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100361324",
"telephone_number": "347-676-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 W 48TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100361324",
"telephone_number": "347-676-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "532114",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "532114",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "NY",
"license": "532114",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NY",
"license": "532114",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "678716",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "532114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.