Jyothi Mandava, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2002002075 Issued in MO

Practice address

16091 Swingley Ridge Rd Ste 100
Chesterfield, MO 63017-2056

Phone

(636) 778-1195

Fax

(636) 898-1019

NPI assigned

Aug 19, 2006

Last updated

Aug 16, 2023By the provider in NPPES

Sex

Female

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 MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Greenbrook TMS St Louis LLCGroup PAC ID 4284985417, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: greenbrooktmsmo.jyothimandava@158455.advancedmd-direct.com
• Direct secure messaging: jyothi.mandava.1@18773.direct.athenahealth.com

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.

• Greenbrook TMS St Louis, LLC

  • Psychiatry Physician
  • Chesterfield, MO
  • NPI 1144713884
  Medicare reassignment Care Compare group
• J Mandava LLC

  • Psychiatry Physician
  • Saint Peters, MO
  • NPI 1811083892
  Medicare reassignment Authorized official
• D Troy Curry MD LLC

  • Psychiatry Physician
  • Creve Coeur, MO
  • NPI 1720567480
  NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1891809539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16091 SWINGLEY RIDGE RD STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172056",
            "telephone_number": "636-778-1195",
            "fax_number": "636-898-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16091 SWINGLEY RIDGE RD STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172056",
            "telephone_number": "636-778-1195",
            "fax_number": "636-898-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDAVA",
        "first_name": "JYOTHI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2002002075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Mahlin, DDS
• Main Street Health Partners, P.C. (Main Street Health Medical Partners-Missouri)
• Samera Majeed, M.D.
• Surajit Majumdar, MD, FACP
• Anna Manda
• Amy Sue Mandlman, SLP
• Jose L Manes, MD
• Grant Mangan
• Manish Suthar MD PC
• Keith Mankowitz, MD

• Psychiatry Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.