MAXINE MANDELL (NPI# 1780137729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780137729 |
| Entity Type | Individual |
| Full Name | MAXINE MANDELL |
| Practice Address |
3130 E Caballero St Mesa AZ 85213-7902 |
| Mailing Address |
Po Box 31803 Mesa AZ 85275-1803 |
| Practice Telephone | 4806413066 |
| Practice Fax Number | 8668688445 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC - 0689 | AZ | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC-0793 | AZ | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LMFT - 0339 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
3130 E CABALLERO ST |
| City | MESA |
| State | AZ |
| Zip Code | 85213-7902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134672181 | Active Coping Treatments, LLC | Counselor | 3130 E Caballero St, Mesa, AZ 85213-7902 | 2016-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1679099402 | Roxanne Nicole Greene | Physical Therapist | 2642 E Fairfield St, Mesa, AZ 85213 | 2017-08-14 |
| 1861921405 | Cameron Kastl | Dentist | 820 E University Dr, Mesa, AZ 85213 | 2017-06-07 |
| 1033667860 | Ricardo Helaman Perez | Dentist | 459 North Val Vista Drive, Mesa, AZ 85213 | 2016-09-21 |
| 1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
| 1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1619299286 | Arizona Internal Medicine Associates LLC | Internal Medicine | 3435 E. Kael St, Mesa, AZ 85213 | 2010-02-23 |
| 1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
| 1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
| Find all providers in zip 85213 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801260781 | Kira Butler | Marriage & Family Therapist | 3048 E Baseline Rd Ste 107, Mesa, AZ 85204-7287 | 2015-11-16 |
| 1699186189 | Candice Dogans | Marriage & Family Therapist | 3707 E Southern Ave Ste 2058, Mesa, AZ 85206-6217 | 2014-05-19 |
| 1508106576 | Calleen A. Morris | Marriage & Family Therapist | 2500 S. Power Rd., #107, Mesa, AZ 85209 | 2013-02-27 |
| 1861639668 | Suzanne Lynne Northey | Marriage & Family Therapist | 2700 E Southern Ave, Mesa, AZ 85204-5415 | 2009-01-15 |
| 1467578427 | David Curt Brown | Marriage & Family Therapist | 4447 E Broadway Rd Ste 108, Mesa, AZ 85206-2018 | 2007-03-22 |
| 1437284932 | Brian T Case | Marriage & Family Therapist | 1256 N Estrada Cir, Mesa, AZ 85207-4137 | 2007-02-23 |
| 1730244070 | Bradley Clayton Barnett | Marriage & Family Therapist | 235 S El Dorado Cir, Mesa, AZ 85202-1044 | 2006-12-27 |
| 1780755066 | Kristie E Barber | Marriage & Family Therapist | 1220 S Alma School Rd, Suite 109, Mesa, AZ 85210-2068 | 2006-11-10 |
| 1326135062 | Wendy J Cova | Marriage & Family Therapist | 6915 E. Main St., Mesa, AZ 85207-8201 | 2006-10-06 |
| 1437257359 | Sheila Beth Christy | Marriage & Family Therapist | 4111 E Valley Auto Dr Ste 109, Mesa, AZ 85206-4607 | 2006-09-21 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on MAXINE MANDELL.
| 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.