Raymond P Mandel, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY05991 Issued in CA

Practice address

670 County Road 83
Canby, CA 96015-9722

Phone

(530) 233-4135

Fax

(530) 233-4140

NPI assigned

Oct 25, 2005

Last updated

Jan 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Last Frontier Healthcare DistrictGroup PAC ID 2466447412, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1841280435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 COUNTY ROAD 83",
            "address_2": "P.O. BOX 322",
            "city": "CANBY",
            "state": "CA",
            "postal_code": "960159722",
            "telephone_number": "530-233-4135",
            "fax_number": "530-233-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 COUNTY ROAD 83",
            "city": "CANBY",
            "state": "CA",
            "postal_code": "960159722",
            "telephone_number": "530-233-4135",
            "fax_number": "530-233-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "RAYMOND",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY05991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCP",
            "identifier": "PSY15991",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mickey Cole, R.D.H
• Virginia L Hassler, FNP
• I'Sot Inc (Canby Family Practice Clinic)
• Lake Health District (Lake Wound Clinic)
• Last Frontier Healthcare District (Canby Family Practice Clinic)

• Clinical Psychologist in Canby, CA
• Providers in Canby, 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 20, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.