DR. PERRY NICHOLAS MANDANIS (NPI# 1104043249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104043249 |
| Entity Type | Individual |
| Full Name | DR. PERRY NICHOLAS MANDANIS |
| Credential | M.D. |
| Practice Address |
189 N Bigelow Rd Hampton CT 06247-1408 |
| Practice Telephone | 8604551119 |
| Mailing Telephone | 8604551119 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
042739 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
189 N BIGELOW RD |
| City | HAMPTON |
| State | CT |
| Zip Code | 06247-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144761453 | Barron Behavioral Health, LLC | Psychologist | 189 N Bigelow Rd, Hampton, CT 06247-1408 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235431719 | Family Resource Services LLC | Social Worker | 33 Station Road, Hampton, CT 06247 | 2010-12-03 |
| 1245452721 | Hampton School District | Local Education Agency (LEA) | 380 Main Street, Hampton, CT 06247 | 2007-05-03 |
| 1447359062 | James H Krall | Social Worker | 33 Station Rd, Po Box 92, Hampton, CT 06247 | 2006-09-21 |
| 1366829129 | Paul Nash | Marriage & Family Therapist | 33 Station Rd., Hampton, CT 06247-0092 | 2015-04-30 |
| 1235120346 | Hampton-chaplin Ambulance Corps Inc | Ambulance | 190 W Old Route 6, Hampton, CT 06247-1311 | 2005-10-31 |
| 1811132103 | Eastconn | Local Education Agency (LEA) | 376 Hartford Tpke, Hampton, CT 06247-1320 | 2008-12-16 |
| 1174676597 | Antonia Brancia Maxon | Audiologist | 354 Hartford Tpke, Hampton, CT 06247-1320 | 2007-01-19 |
| 1881244093 | Emily Potrzeba | Speech-Language Pathologist | 354 Hartford Tpke, Hampton, CT 06247-1320 | 2019-09-19 |
| 1437709367 | New England Center for Hearing Rehabilitation LLC | Speech-Language Pathologist | 354 Hartford Tpke, Hampton, CT 06247-1320 | 2019-09-12 |
| 1306291232 | New England Center for Hearing Rehabilitation LLC | Audiologist | 354 Hartford Tpke, Hampton, CT 06247-1320 | 2016-04-28 |
| Find all providers in zip 06247 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710397583 | Comprehensive Psychological Services At Peninsula Town Center, LLC | Psychiatry & Neurology | 4410 Claiborne Sq E, Suite 334, Hampton, VA 23666-2071 | 2014-05-02 |
| 1437489770 | Rajeev Srivastava | Psychiatry & Neurology | 2244 Executive Dr, Hampton, VA 23666-2430 | 2010-01-08 |
| 1962550632 | Sari E. Kohazi | Psychiatry & Neurology | 2244 Executive Dr, Hampton, VA 23666-2430 | 2007-01-08 |
| 1366548042 | Michel Paul Gingras | Psychiatry & Neurology | 2112 Hartford Rd, Hampton, VA 23666-2409 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649667106 | Ayodola Adigun | Psychiatry & Neurology | 200 Broad St Apt 2214, Stamford, CT 06901-2070 | 2015-04-22 |
| 1801209952 | Oscar A Gerdner | Psychiatry & Neurology | 167 Old Post Rd, Southport, CT 06890-1395 | 2014-06-06 |
| 1194165720 | H and B Quality Medical Care LLC | Psychiatry & Neurology | 2 Ivy Brook Rd Ste 120, Shelton, CT 06484-6416 | 2013-06-27 |
| 1659710242 | Ibrahim N. Orgun | Psychiatry & Neurology | 44 Craigemore Cir, Avon, CT 06001-3417 | 2013-06-18 |
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
| 1689972382 | Satwant Ahluwalia | Psychiatry & Neurology | 13 Woods Way, Redding, CT 06896-3200 | 2011-03-03 |
| 1962647842 | Pamela Edie Hoffman | Psychiatry & Neurology | 230 S Frontage Rd # G112, New Haven, CT 06519-1124 | 2008-12-08 |
| 1649423567 | Susan Jane Finkelstein | Psychiatry & Neurology | 3 Sylvan Road South, Westport, CT 06880 | 2008-10-23 |
| 1205083359 | Robert Khalil | Psychiatry & Neurology | 7 Old Sherman Tpke Ste 102, Danbury, CT 06810-4174 | 2008-08-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.