DR. ALI MANDELBLATT (NPI# 1891167144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891167144 |
| Entity Type | Individual |
| Full Name | DR. ALI MANDELBLATT |
| Credential | PSY.D. |
| Practice Address |
4600 Military Trl Suite 103 Jupiter FL 33458-4810 |
| Practice Telephone | 5612497400 |
| Mailing Telephone | 5612497400 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY7786 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4600 MILITARY TRL SUITE 103 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376150 | Tasmina Sheikh | Psychiatry & Neurology | 4600 Military Trl, Ste 221, Jupiter, FL 33458-4813 | 2005-06-20 |
| 1922506583 | Robert Sterling Hall II | Registered Nurse | 4600 Military Trl, Jupiter, FL 33458-4810 | 2018-01-30 |
| 1093266314 | Palm Beach Vascular and Wound Care Pa | Internal Medicine | 4600 Military Trl, Jupiter, FL 33458-4810 | 2016-10-21 |
| 1619322823 | Medi-weightloss Clinic of Jupiter | Clinic/Center | 4600 Military Trl, Suite 114, Jupiter, FL 33458-4810 | 2016-04-26 |
| 1255714721 | Ashley Wellons | Audiologist | 4600 Military Trl, Suite 205, Jupiter, FL 33458-4810 | 2015-07-02 |
| 1558752709 | Integrative Foot and Ankle LLC | Podiatrist | 4600 Military Trl, Suite 110, Jupiter, FL 33458-4810 | 2015-02-10 |
| 1356613970 | Kelly Ruthanne Spencer | Nurse Practitioner | 4600 Military Trl, #122, Jupiter, FL 33458-4810 | 2012-01-27 |
| 1043531379 | John Sarno | Dentist | 4600 Military Trl, Suite #114, Jupiter, FL 33458-4810 | 2010-06-22 |
| 1033347117 | Monica Janet Munoz | Internal Medicine | 4600 Military Trl, Suite 203, Jupiter, FL 33458-4810 | 2009-06-26 |
| 1134356991 | Plastic Surgery of Jupiter, P.a. | Military Health Care Provider | 4600 Military Trl, Suite 202, Jupiter, FL 33458-4810 | 2009-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245391291 | Kulig & Associates Inc | Psychologist | 900 S Us Hwy One, Suite 101, Jupiter, FL 33477 | 2006-12-13 |
| 1972616027 | Laura Faith Robinson | Psychologist | 900 S Us Highway 1, Suite 101, Jupiter, FL 33477-6459 | 2006-08-15 |
| 1316473028 | Robyn L Wallace Phd LLC | Psychologist | 2141 S Alternate A1a Ste 300, Jupiter, FL 33477-4063 | 2017-05-02 |
| 1295109189 | Meaghan Stewart | Psychologist | 900 S Us Highway 1, Suite 101, Jupiter, FL 33477-6459 | 2015-11-16 |
| 1427467760 | Michael Louis O'hara Jr. | Psychologist | 825 S Us Highway 1, Suite 360a, Jupiter, FL 33477-5976 | 2014-08-12 |
| 1245660893 | Skipper Harvey | Psychologist | 125 W Indiantown Rd, Suite 203-a, Jupiter, FL 33458-3556 | 2013-11-18 |
| 1326389453 | James M Fletcher Pa | Psychologist | 400 Toney Penna Dr, Suite F, Jupiter, FL 33458-5793 | 2013-03-14 |
| 1417209974 | Jennifer Ries | Psychologist | 345 Jupiter Lakes Blvd, Suite 302a, Jupiter, FL 33458-7100 | 2012-10-09 |
| 1396996450 | Anthony A Spaniol | Psychologist | 125 W Indiantown Rd, Suite 203-a, Jupiter, FL 33458-3556 | 2008-10-08 |
| 1801013834 | Lighthouse Psychological Services | Psychologist | 609 N Hepburn Ave, Suite 103, Jupiter, FL 33458-5015 | 2007-04-19 |
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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.