DR. GEORGE ELIAS MANDALOS (NPI# 1679611198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679611198 |
| Entity Type | Individual |
| Full Name | DR. GEORGE ELIAS MANDALOS |
| Credential | MD |
| Practice Address |
100 Retreat Av Suite 612 Hartford CT 06106 |
| Mailing Address |
19 Sage Drive Manchester CT 06042 |
| Practice Telephone | 8609978410 |
| Practice Fax Number | 8604325660 |
| Mailing Telephone | 8606438312 |
| Mailing Fax Number | 8604325660 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
17290 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
100 RETREAT AV SUITE 612 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| 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 |
|---|---|---|---|---|
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1730233305 | Roy Kenneth Lafrenier | Psychiatry & Neurology | 100 Retreat Avenue, Hartford, CT 06106 | 2007-01-22 |
| 1275611485 | Marvinzelman, M.d., P.C. | Psychiatry & Neurology | 31 Woodland St, 1a, Hartford, CT 06105-4335 | 2006-11-02 |
| 1205859485 | Christine A. Miller | Psychiatry & Neurology | 49 School Street, Hartford, VT 05047-0709 | 2006-07-26 |
| 1578583142 | Patricia A Daly | Psychiatry & Neurology | 49 School St., Hcrs, Hartford, VT 05047 | 2006-07-19 |
| 1902839871 | William Confer Alder | Psychiatry & Neurology | 660 Prospect Ave, Hartford, CT 06105-4230 | 2006-07-07 |
| 1639145139 | Nayer S. Bukhari | Psychiatry & Neurology | Saint Francis Hospital and Medical Center, 114 Woodland Street, Ms70102, Hartford, CT 06105-1299 | 2006-02-24 |
| 1285605071 | Eugenia Popescu | Psychiatry & Neurology | 103 Westerly Ter, Hartford, CT 06105-1118 | 2006-01-30 |
| 1457908048 | Nicole Snyder | Psychiatry & Neurology | 14 Weston St, Hartford, CT 06120-1504 | 2019-08-20 |
| 1467941047 | Hossain Khan | Psychiatry & Neurology | 200 Retreat Ave, Hartford, CT 06106-3309 | 2018-05-09 |
| Find all providers in HARTFORD | ||||
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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.