DR. DAVID MARC MANDEL (NPI# 1407067440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407067440 |
| Entity Type | Individual |
| Full Name | DR. DAVID MARC MANDEL |
| Credential | PH.D. |
| Practice Address |
508 H St Ste 3 Crescent City CA 95531-3723 |
| Practice Telephone | 7074651585 |
| Practice Fax Number | 7074584220 |
| Mailing Telephone | 7074651585 |
| Mailing Fax Number | 7074584220 |
| Enumeration Date | 2007-05-24 |
| 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 |
PL #3526 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205856457 | David L Mandel | Dentist | 200 Teletech Drive, Suite B, Moundsville, WV 26041-0000 | 2006-07-20 |
| 1558369553 | David R Mandel | Internal Medicine | 6551 Wilson Mills Rd, #106, Mayfield Village, OH 44143-3495 | 2005-07-13 |
| 1396140299 | David Mandel | Nurse Anesthetist, Certified Registered | 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 | 2014-11-04 |
| 1053521559 | David B Mandel | Internal Medicine | 1002 N Mound St, Nacogdoches, TX 75961-4437 | 2007-05-23 |
| 1720154552 | David Neal Mandel | Psychologist | 214 Engle St, Ste 10, Englewood, NJ 07631 | 2006-11-24 |
| 1033202510 | David Abraham Mandel | Dentist | 130 West Kingsbridge Road, Bronx, NY 10468 | 2006-10-02 |
| 1902918865 | David A Mandel | Internal Medicine | 317 W Pueblo St, Santa Barbara, CA 93105-4355 | 2006-08-31 |
| 1184730004 | David M. Mandel | Orthopaedic Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-22 |
| Street Address |
508 H ST STE 3 |
| City | CRESCENT CITY |
| State | CA |
| Zip Code | 95531-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799925 | The Path To Healing Counseling | Community/Behavioral Health | 508 H St Ste 3, Crescent City, CA 95531-3723 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548725237 | John Michael Horner | Counselor | 455 Kst, Crescent City, CA 95531 | 2019-02-06 |
| 1245716943 | Tonya Shantel Escobar | Registered Nurse | 1301b Northcrest Drive #13, Crescent City, CA 95531 | 2018-07-16 |
| 1679019319 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 657 Hwy 101 N, Crescent City, CA 95531 | 2017-01-18 |
| 1063969558 | Darrick Stewart Roach | Massage Therapist | 1225 Marshall St., 18, Crescent City, CA 95531 | 2016-09-01 |
| 1447638044 | Yelena Zaitseva Lavender | Counselor | 455 K Street, Crescent City, CA 95531 | 2015-05-14 |
| 1942630421 | Kamilia Ann Schnacker | Counselor | 370 9th Street, Crescent City, CA 95531 | 2013-11-19 |
| 1881906261 | Peter Allen Brown | Psychologist | 505 H Street, Crescent City, CA 95531 | 2010-07-13 |
| 1700119385 | Remi Vista Services for Probation Youth | Community/Behavioral Health | 206 Williams Dr # 2, Crescent City, CA 95531 | 2009-09-14 |
| 1982862538 | Joshua Thomas Matson | Chiropractor | 550 E Washington Blvd Ste 100, Crescent City, CA 95531 | 2008-05-30 |
| 1902076250 | County of Del Norte | Community/Behavioral Health | 1125 Burtschell, Crescent City, CA 95531 | 2008-03-03 |
| Find all providers in zip 95531 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881906261 | Peter Allen Brown | Psychologist | 505 H Street, Crescent City, CA 95531 | 2010-07-13 |
| 1124238225 | Paul Clyde Butler | Psychologist | 159 Starfish Way, Crescent City, CA 95531-4447 | 2007-05-23 |
| 1851501167 | David Linn Archambault | Psychologist | Pelican Bay State Prison 5905 Lake Earl Dr, Crescent City, CA 95532-0001 | 2007-05-23 |
| 1316157688 | Steven W. Veit | Psychologist | Pelican Bay State Prison Mental Health Services, 5905 Lake Earl Drive, Crescent City, CA 95532-7000 | 2007-05-23 |
| 1568536613 | D Rosemarie Reynolds | Psychologist | 445 I St, Suite B, Crescent City, CA 95531-4026 | 2006-11-20 |
| 1245249523 | Elli Kimbauer | Psychologist | 1080 Mason Mall, 6a, Crescent City, CA 95531-4334 | 2006-08-05 |
| 1487072971 | John William Stoner | Psychologist | 5905 Lake Earl Dr, Crescent City, CA 95532-0001 | 2014-04-01 |
| 1871830513 | Laurina Yu | Psychologist | 5905 Lake Earl Dr, Crescent City, CA 95532 | 2013-01-15 |
| 1396075693 | Elizabeth Chernow | Psychologist | 5905 Lake Earl Dr, Crescent City, CA 95532-0001 | 2010-01-08 |
| 1407015167 | Peter C Sayer | Psychologist | 5905 Lake Earl Dr, Crescent City, CA 95532-0001 | 2008-06-06 |
| Find all providers in CRESCENT CITY | ||||
| City | CRESCENT CITY |
| Zip Code | 95531 |
Please comment or provide details below to improve the information on DR. DAVID MARC MANDEL.
| 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.