Maria Mandalos, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1415 Beacon St
120
Brookline, MA 02446-4816

Phone

(617) 566-2200

NPI assigned

Oct 16, 2015

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

Enrolled in MA

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

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

North End Community Health Committee, Inc.Group PAC ID 8224043971, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• North End Community Health Committee Inc

  • Public Health & General Preventive Medicine Physician
  • Boston, MA
  • NPI 1780606608
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1871964890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ELIOT ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671433",
            "telephone_number": "617-992-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST",
            "address_2": "120",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464816",
            "telephone_number": "617-566-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDALOS",
        "first_name": "MARIA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Alexis Malebranche, PH.D.
• Jane Malick-Nugent, LICSW
• Tamar Rachel Malka
• Robert J Maloney III, DMD
• Wilfred Mamuya, MD PHD
• Richard S Mandell, LIC. AC.
• Valerie S Mandell, M.D.
• Madeleine Ann Manders, LICSW
• Deborah K Manegold, M.D.
• Farahnaz Maniei, ED.D

• Mental Health Counselor in Brookline, MA
• Providers in Brookline, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.