Mariana Mendez-Tadel, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD423014 Issued in PA

Practice address

University and Woodland Ave.
VA Mecical Center, Mental Health Clinic, 7TH Floor
Philadelphia, PA 19104

Phone

(215) 823-4038

NPI assigned

Sep 15, 2006

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831295088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 HAMILTON ST",
            "address_2": "POWELTON VILLAGE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042327",
            "telephone_number": "215-382-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY AND WOODLAND AVE.",
            "address_2": "VA MECICAL CENTER, MENTAL HEALTH CLINIC, 7TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-823-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-TADEL",
        "first_name": "MARIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD423014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Mendenhall
• Shaun Douglas Mendenhall, M.D.
• Courtney Mendes
• Gabrielle Mendes, MD
• Edras Mendez-Hernandez, PA-C
• Ernesto Mendez, PT, DPT
• James D Mendez, CRNP
• Jessica M Mendez
• Kendra Mendez, MD
• Maria Mendez, MD

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.