JOHN B. MANSDORFER, PH.D. (NPI# 1669698908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669698908 |
| Entity Type | Organization |
| Organization Name | JOHN B. MANSDORFER, PH.D. |
| Practice Address |
785 Grand Ave 219 Carlsbad CA 92008-2370 |
| Practice Telephone | 7607296009 |
| Practice Fax Number | 7607296009 |
| Mailing Telephone | 7607296009 |
| Mailing Fax Number | 7607296009 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-03-11 |
| Authorized Official Name | DR. JOHN B MANSDORFER (PSYCHOLOGIST) |
| Authorized Official Telephone | 7607296009 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13625 | CA | Behavioral Health & Social Service Providers |
| Street Address |
785 GRAND AVE 219 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144243569 | Christine P Valdez | Marriage & Family Therapist | 785 Grand Ave, Suite 219, Carlsbad, CA 92008-2370 | 2006-07-26 |
| 1982099461 | Noelani Dizon-oathout | Counselor | 785 Grand Ave, Suite 220, Carlsbad, CA 92008-2370 | 2015-04-01 |
| 1194118315 | West Coast Men's LLC | Clinic/Center | 785 Grand Ave, Suite 220, Carlsbad, CA 92008 | 2015-03-12 |
| 1902203730 | Stephen Aaron Lawrence | Dentist | 785 Grand Ave, Suite 206, Carlsbad, CA 92008-2370 | 2014-11-21 |
| 1871995647 | Stephen A. Lawrence, Dds, Inc. | Clinic/Center | 785 Grand Ave, Suite 206, Carlsbad, CA 92008-2370 | 2014-09-23 |
| 1457767139 | Diana Edds | Marriage & Family Therapist | 785 Grand Ave, Suite 220, Carlsbad, CA 92008-2370 | 2014-07-02 |
| 1346665791 | Alexis Ecoff | Marriage & Family Therapist | 785 Grand Ave, Suite 220, Carlsbad, CA 92008-2370 | 2014-02-21 |
| 1932547288 | Madeline Lewis | Case Manager/Care Coordinator | 785 Grand Ave, Carlsbad, CA 92008-2370 | 2013-06-10 |
| 1588001812 | Kinnear Chiropractic PC | Chiropractor | 785 Grand Ave, #100, Carlsbad, CA 92008-2370 | 2013-05-28 |
| 1396181558 | Kimberley Woo | Acupuncturist | 785 Grand Ave, Carlsbad, CA 92008-2370 | 2013-05-15 |
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|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053950634 | Kathleen Kawamura | Psychologist | 2604-b El Camino Real, #405, Carlsbad, CA 92008-1205 | 2019-12-31 |
| 1518527258 | Balanced Psychology Services | Psychologist | 2777 Jefferson St Ste 203, Carlsbad, CA 92008-1743 | 2019-06-15 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1558772772 | Tulsi Milliken | Psychologist | 6813 Briarwood Dr, Carlsbad, CA 92011-3925 | 2014-05-09 |
| 1215355227 | Judy Weiss | Psychologist | 6663 Sitio Palmas, Carlsbad, CA 92009-5919 | 2014-04-07 |
| 1881015733 | Ted Shore | Psychologist | 3295 Avenida Anacapa, Carlsbad, CA 92009-9301 | 2013-12-19 |
| 1225398696 | Melissa Mckeown Jenkins | Psychologist | 1265 Carlsbad Village Dr Ste 210c, Carlsbad, CA 92008-1972 | 2012-05-20 |
| 1306103098 | Angela Sue Klein | Psychologist | 2683 State St, Carlsbad, CA 92008-1627 | 2012-04-18 |
| 1699009308 | Robert William Mcalister Jr. | Psychologist | 2541 State St Ste 112, Carlsbad, CA 92008-1679 | 2009-09-28 |
| 1902039555 | Nichole Antoinette Duarte | Psychologist | 2382 Faraday Ave Ste 250-12, Carlsbad, CA 92008-7218 | 2009-08-31 |
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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.