PHILLIP C DIAS-MANDOLY (NPI# 1326152125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326152125 |
| Entity Type | Individual |
| Full Name | PHILLIP C DIAS-MANDOLY |
| Credential | M.D. |
| Practice Address |
111 Hazel Lane Suite 300 Sewickley PA 15143-1253 |
| Practice Telephone | 4127497330 |
| Practice Fax Number | 4127496763 |
| Mailing Telephone | 4127497330 |
| Mailing Fax Number | 4127496763 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2010-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD040982E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016538160002 | 05 | |
| PA | 01653816 | 05 |
| Street Address |
111 HAZEL LANE SUITE 300 |
| City | SEWICKLEY |
| State | PA |
| Zip Code | 15143-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777821 | Daniel J Nadler | Ophthalmology | 111 Hazel Lane, Ste 102, Sewickley, PA 15143-1554 | 2005-06-01 |
| 1063538627 | Valley Medical Facilities, Inc. | Case Management | 111 Hazel Lane, Suite 300, Sewickley, PA 15143 | 2007-03-22 |
| 1851425128 | James Perrotti | Counselor | 111 Hazel Lane, Suite 300, Sewickley, PA 15143-1253 | 2007-03-16 |
| 1811039985 | Diane Buchan | Registered Nurse | 111 Hazel Lane, Suite 300, Sewickley, PA 15143 | 2007-02-13 |
| 1144374455 | Tim Gigliotti | Counselor | 111 Hazel Lane, Suite 300, Sewickley, PA 15143-1253 | 2007-01-23 |
| 1164573978 | Judith L. Bonnaure | Psychologist | 111 Hazel Lane, Suite 300, Sewickley, PA 15071 | 2007-01-16 |
| 1861541559 | Brian S Smithley | Psychologist | 111 Hazel Lane, Suite 300, Sewickley, PA 15143 | 2007-01-10 |
| 1407905243 | Mary Linda Boyle | Counselor | 111 Hazel Lane, Suite 300, Sewickley, PA 15143 | 2007-01-10 |
| 1508916008 | Joanne F Lapic | Registered Nurse | 111 Hazel Lane, Suite 300, Sewickley, PA 15143-1253 | 2007-01-10 |
| 1386793867 | Sheree Kaiser | Social Worker | 111 Hazel Lane, Suite300, Sewickley, PA 15143-1253 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679082713 | Annie Cares, Inc. | Case Management | 207 Timber Lane, Sewickley, PA 15143 | 2017-09-20 |
| 1083132617 | Andrew Wu | Specialist/Technologist | 1420 North Shevlin Court, Sewickley, PA 15143 | 2017-09-04 |
| 1619498706 | Marisa Lynn Ciamacca | Optometrist | 2591 Wexford Bayne Rd Ste 104, Sewickley, PA 15143 | 2017-06-29 |
| 1730619644 | Eva Marie Haddad | Physician Assistant | 2100 Georgetowne Drive, Suite 400, Sewickley, PA 15143 | 2017-06-13 |
| 1376098129 | Stephanie Harkins | Chiropractor | 1 Ohio River Blvd, Sewickley, PA 15143 | 2016-08-22 |
| 1710339692 | Kara Lynn Varga | Optometrist | 400 Broad Street Suite 2020, Sewickley, PA 15143 | 2016-07-05 |
| 1265890511 | Stacy Moon | Chiropractor | 2605 Nicholson Road, Building 3, Suite 120, Sewickley, PA 15143 | 2016-02-02 |
| 1003286857 | John Robert Utberg | Obstetrics & Gynecology | 210 Alagua Dr., Sewickley, PA 15143 | 2015-10-05 |
| 1588043434 | Simmons Chiropractic & Wellness | Chiropractor | 2425 Rochester Rd, Sewickley, PA 15143 | 2015-05-26 |
| 1316346042 | Lauri Lang | Dietitian, Registered | 2607 Nicholson Rd., Suite 2100, Building 2, Sewickley, PA 15143 | 2014-08-19 |
| Find all providers in zip 15143 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801982285 | H. Jordan Garber | Psychiatry & Neurology | 28 Myrtle Hill Rd, Sewickley, PA 15143-8700 | 2006-10-05 |
| 1972594174 | Alan S Rahm | Psychiatry & Neurology | 618 Beaver St, Suite 104, Sewickley, PA 15143-1906 | 2005-11-04 |
| 1326048539 | Debrin Packer Goubert | Psychiatry & Neurology | 344 Duquesne Way, Sewickley, PA 15143-1458 | 2005-07-29 |
| 1912406240 | Pcma Psychiatric Division LLC | Psychiatry & Neurology | 422 Oliver Rd, Sewickley, PA 15143-1034 | 2018-02-01 |
| 1649707431 | Heritage Valley Medical Group, Inc. | Psychiatry & Neurology | 111 Hazel Ln, Suite 300, Sewickley, PA 15143-1253 | 2017-05-11 |
| 1144618414 | Sheena A Dohar | Psychiatry & Neurology | 111 Hazel Ln Ste 300, Sewickley, PA 15143-1253 | 2015-01-08 |
| 1669629762 | Amit Neog | Psychiatry & Neurology | 111 Hazel Ln Ste 300, Sewickley, PA 15143 | 2008-08-20 |
| 1053426205 | Apolonia Sinu | Psychiatry & Neurology | 111 Hazel Lane, Suite 300, Sewickley, PA 15143 | 2006-08-20 |
| 1649385808 | Ronald Backus | Psychiatry & Neurology | 111 Hazel Lane, Suite 300, Sewickley, PA 15143 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235663 | Doreen Thomas-payne | Psychiatry & Neurology | 422 Pheasant Ln, Lafayette Hill, PA 19444-1204 | 2020-11-03 |
| 1558961698 | Bierkortte Psychiatric Pllc | Psychiatry & Neurology | 1001 E Elfinwild Rd, Allison Park, PA 15101-3912 | 2020-10-28 |
| 1265031603 | Center for Integrative Psychiatry and Neuromodulation, Plc | Psychiatry & Neurology | 822 Montgomery Ave Ste 208, Narberth, PA 19072-1946 | 2020-10-17 |
| 1518576602 | Kathleen A Lyon, Md PC | Psychiatry & Neurology | 201 Water St Ste 1, Milford, PA 18337-1247 | 2020-07-24 |
| 1588272595 | Ade & Mo LLC | Psychiatry & Neurology | 589 Bethlehem Pike Ste 200, Montgomeryville, PA 18936-9744 | 2020-07-15 |
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1205452760 | Xaler LLC | Psychiatry & Neurology | 4379 Easton Ave # 110, Bethlehem, PA 18020-1483 | 2020-06-22 |
| 1366067464 | Hgmd LLC | Psychiatry & Neurology | 3216 Hemlock Farms, Hawley, PA 18428-9113 | 2020-06-15 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
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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.