DR. ANDREW GENE MANTELMAN (NPI# 1366597676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366597676 |
| Entity Type | Individual |
| Full Name | DR. ANDREW GENE MANTELMAN |
| Credential | PSY.D. |
| Practice Address |
704 Pintail Ct Deerfield IL 60015-3645 |
| Practice Telephone | 8472199600 |
| Mailing Telephone | 8472199600 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 04926447 | 01 |
| Street Address |
704 PINTAIL CT |
| City | DEERFIELD |
| State | IL |
| Zip Code | 60015-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295360758 | Bbg Psychological Services, Inc. | Psychologist | 1020 Milwaukee Ave Ste 215, Deerfield, IL 60015-3554 | 2020-03-05 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1790261774 | Mariana Tokar | Psychologist | 862 Swan Ln, Deerfield, IL 60015-3671 | 2018-07-13 |
| 1134465644 | Nick J Sotor | Psychologist | 770 Lake Cook Rd Ste 210, Deerfield, IL 60015-4976 | 2013-01-02 |
| 1588934483 | Beth Becker | Psychologist | 85 Larkdale East Rd, Deerfield, IL 60015-5055 | 2012-01-09 |
| 1104194745 | Ashley K Whittington-barnish | Psychologist | 1374 Meadow Ln, Deerfield, IL 60015-2835 | 2011-12-11 |
| 1629365101 | Julieanne Pojas | Psychologist | 707 Lake Cook Rd Ste 310, United States, Deerfield, IL 60015-4933 | 2011-07-05 |
| 1295052082 | Tracy A. Halsema | Psychologist | 720 Osterman Ave Ste 203, Deerfield, IL 60015-4339 | 2010-05-03 |
| 1962643999 | Jeanne Yakin Ltd | Psychologist | 500 Lake Cook Rd, Suite 350, Deerfield, IL 60015-5609 | 2009-03-21 |
| 1992945547 | Jeffrey Adam Fishbein | Psychologist | 770 Lake Cook Rd Ste 250, Deerfield, IL 60015-4976 | 2009-02-23 |
| Find all providers in DEERFIELD | ||||
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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.