DR. LYN J. MANGIAMELI (NPI# 1134487333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134487333 |
| Entity Type | Individual |
| Full Name | DR. LYN J. MANGIAMELI |
| Credential | PH.D. |
| Practice Address |
320 S 3rd St Suite 201 San Jose CA 95112-3648 |
| Mailing Address |
127 Carson Ct Sunnyvale CA 94086-5822 |
| Practice Telephone | 4159996793 |
| Practice Fax Number | 4087361272 |
| Mailing Telephone | 4159996793 |
| Mailing Fax Number | 4087361272 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY 25076 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 25076 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY 25076 | CA | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PSY 25076 | CA | Behavioral Health & Social Service Providers |
| Street Address |
320 S 3RD ST SUITE 201 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588921993 | Nahal Helen Zakerani | Clinical Neuropsychologist | 2184 Los Gatos Almaden Rd, San Jose, CA 95124-5420 | 2012-04-23 |
| 1285751446 | James W. Bryant | Clinical Neuropsychologist | 2505 Samaritan Dr Ste 303, San Jose, CA 95124-4011 | 2007-03-23 |
| 1700943776 | Robert George Perez | Clinical Neuropsychologist | 1777 Hamilton Ave, Suite 212, San Jose, CA 95125-5430 | 2007-01-02 |
| 1750366902 | Gregory R Thomson | Clinical Neuropsychologist | 2512 Samaritan Ct, Suite I, San Jose, CA 95124-4002 | 2005-12-09 |
| 1972001790 | Ruth Steinhardt | Clinical Neuropsychologist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2018-01-26 |
| 1093996902 | Samantha Ann Dowdall | Clinical Neuropsychologist | 3880 S Bascom Ave, Suite 116a, San Jose, CA 95124-2674 | 2007-11-19 |
| 1336271964 | David A Severin | Clinical Neuropsychologist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2007-03-09 |
| 1275621468 | Gary Terrell Miles | Clinical Neuropsychologist | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2006-10-11 |
| 1063477206 | Faith Langlois-dul | Clinical Neuropsychologist | 751 S Bascom Ave, Psychology Services, San Jose, CA 95128-2604 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| 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.