Robert Frank Mannis, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2233 Issued in MD

Practice address

235 Wes Patrick St
Robert F. Mannis PHD
Frederick, MD 21701

Phone

(301) 662-4160

Fax

(301) 620-4344

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Evergreen Psychology, LLC

  • Psychologist
  • Frederick, MD
  • NPI 1932368628
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1831224906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WES PATRICK ST",
            "address_2": "ROBERT F. MANNIS PHD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-662-4160",
            "fax_number": "301-620-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WES PATRICK ST",
            "address_2": "ROBERT F. MANNIS PHD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-662-4160",
            "fax_number": "301-620-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNIS",
        "first_name": "ROBERT",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02233",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Mann, M.ED, NCC, LGPC
• Daniel Mann
• Stephan Charles Boyd Mann, M.D.
• Teryn Elizabeth Mannella, PA-C
• Matthew Paul Mannick, DPT, ATC
• Soumya Mannoor Punnoose, PMHNP
• Paul Denis Manny, P.T.
• Patrick Johannes Mansky, M.D.
• Robert William Mansman, II II, DDS
• Pamela Manstof, NP

• Psychologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.