DR. DOROTHY MARIE MANDEL (NPI# 1679882880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679882880 |
| Entity Type | Individual |
| Full Name | DR. DOROTHY MARIE MANDEL |
| Credential | PSYCHOLOGY LICENSE |
| Practice Address |
1144 Sonoma Ave Ste 117 Santa Rosa CA 95405-4812 |
| Practice Telephone | 7073223222 |
| Practice Fax Number | 7075261913 |
| Mailing Telephone | 7073223222 |
| Mailing Fax Number | 7075261913 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY23697 | CA | Behavioral Health & Social Service Providers |
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PSY23697 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY23697 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY23697 | CA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PSY23697 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY23697 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY23697 | CA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PSY23697 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
PSY23697 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215254172 | Dorothy Helena Mandel | Counselor | 5 Watson Rd, Belmont, MA 02478-3924 | 2010-04-30 |
| Street Address |
1144 SONOMA AVE STE 117 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609866888 | Jeffrey D. Bean | Dentist | 1144 Sonoma Ave, St. 102, Santa Rosa, CA 95405-4812 | 2005-10-27 |
| 1952837155 | Dental Group of Emine Loxley, Dds, Inc | Clinic/Center | 1144 Sonoma Ave, #107, Santa Rosa, CA 95405-4812 | 2017-05-08 |
| 1407219355 | Tina Marie Kelly | Marriage & Family Therapist | 1144 Sonoma Ave, Suite 104, Santa Rosa, CA 95405-4812 | 2016-03-29 |
| 1033594783 | Edward A Biery | Psychologist | 1144 Sonoma Ave, Ste 104, Santa Rosa, CA 95405-4812 | 2015-07-23 |
| 1366820474 | Jennifer E. Blum | Psychologist | 1144 Sonoma Ave, 104, Santa Rosa, CA 95405-4812 | 2015-05-08 |
| 1467847103 | Rafael Miguel Diaz | Psychologist | 1144 Sonoma Ave, Suite 104, Santa Rosa, CA 95405-4812 | 2015-03-31 |
| 1518370519 | Dena Nicole Dimond | Nurse Practitioner | 1144 Sonoma Ave, Ste 119, Santa Rosa, CA 95405-4812 | 2014-06-06 |
| 1992123905 | Elizabeth Cassanos | Psychologist | 1144 Sonoma Ave, Santa Rosa, CA 95405-4812 | 2014-04-07 |
| 1225346398 | Tina Louise Sandoval-dyer | Marriage & Family Therapist | 1144 Sonoma Ave, Suite 117, Santa Rosa, CA 95405-4812 | 2010-09-22 |
| 1760717441 | North Coast Faculty Medical Group Inc. | Otolaryngology | 1144 Sonoma Ave, 101, Santa Rosa, CA 95405-4812 | 2009-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417910316 | Cynthia L Kohles | Psychologist | 2455 Bennett Valley Rd, Suite B208, Santa Rosa, CA 95404-5663 | 2006-04-11 |
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| 1720632631 | Efren Esparza | Psychologist | 525 Cabrillo Park Dr Ste 300525, Santa Ana, CA 92701-5017 | 2019-07-29 |
| 1649742479 | Cristina Ambos Wilson | Psychologist | 108 Holly Way, Pismo Beach, CA 93449-3221 | 2018-12-18 |
| 1871097311 | Chelsea By The Sea | Psychologist | 10211 Kukui Dr, Huntington Beach, CA 92646-2518 | 2018-03-20 |
| 1033636501 | Khachik Petrosyan | Psychologist | 1225 Oakridge Dr, Glendale, CA 91205-3412 | 2017-08-25 |
| 1891151213 | Shyma El Sayed | Psychologist | 1029 H St, 403, Sacramento, CA 95814-2847 | 2016-01-14 |
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1669864302 | T. Adelstein, Ph.d., Psychologist, P.C. | Psychologist | 150 Morning Sun Ave, Mill Valley, CA 94941-3507 | 2015-03-03 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1619399052 | Kerry Hubel | Psychologist | 480 N 1st St, San Jose, CA 95112-4043 | 2014-01-18 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.