Andrew Mendonsa, PSY.D., MBA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23208 Issued in CA

Practice address

9261 Folsom Blvd Ste 300
Sacramento, CA 95826-2559

Phone

(916) 476-5152

NPI assigned

Jan 8, 2007

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA, ID, CO, HI, AZ, DC, MI7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 7

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19641/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Pure Autism Counseling Center Inc

  dba Pacc Mental Health Services

  • Community/Behavioral Health Agency
  • Santa Clarita, CA
  • NPI 1649737735
  Medicare reassignment NPD
• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment NPD
• Total Life Ca, P.C.

  dba Total Life

  • Cognitive & Behavioral Psychologist
  • Los Angeles, CA
  • NPI 1689389603
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, CO, DC, HI, ID, MI

  Medicare reassignment NPD
• Pacific Forensic Psychology Associates, Inc

  dba Sharper Future

  • Adult Mental Health Clinic/Center
  • Pico Rivera, CA
  • NPI 1396929022

  Clinical

  NPD (past) Authorized official
• Ehab Yacoub MD Inc.

  dba Brain Health USA

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713
  NPD (past)
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1760530117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9261 FOLSOM BLVD STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9261 FOLSOM BLVD STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262559",
            "telephone_number": "916-476-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDONSA",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mending Minds Mending Hearts
• Christine Mendiola
• Maria Yesenia Mendiola
• Roger Edward Mendis, M.D.
• Madison Mendonca
• Lybil Briscia Mendoza Alvarez, M.D.
• Karina Stephanie Mendoza Gonzalez, LCSW
• Martha Fernanda Mendoza Jimenez
• Antonio Homero Mendoza Ladd, M.D.
• Denisse Mendoza Loera

• Clinical Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.